# ADVANCED HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1356442669
- **Authorized official:** DR. RAYMOND VASQUEZ (PRESIDENT)
- **Authorized official phone:** (816) 525-6688

## Contact information

- **Practice address:** 1631 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4701
- **Practice address phone:** (816) 525-6688
- **Practice address fax:** (816) 554-7227
- **Mailing address:** 1631 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4701
- **Mailing address phone:** (816) 525-6688
- **Mailing address fax:** (816) 554-7227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NI0900X | Internist Chiropractor | — | MO | — |
| 207Q00000X | Family Medicine Physician | — | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | — | MO | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 10/16/2015
