# ADVANTAGE HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336447465
- **Authorized official:** MRS. LISA SHIRL TAYLOR (EXECUTIVE DIRECTOR/OWNER)
- **Authorized official phone:** (304) 587-9992

## Contact information

- **Practice address:** 15 BANK ST, CLAY, WV 25043
- **Practice address phone:** (304) 587-9992
- **Practice address fax:** (304) 587-9993
- **Mailing address:** PO BOX 835, CLAY, WV 25043-0835
- **Mailing address phone:** (304) 587-9992
- **Mailing address fax:** (304) 587-9993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 22475308 | WV | Yes |

## Other

- **Enumeration date:** 03/15/2011
- **Last updated:** 12/04/2020