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Organization
ADVANCED HOME CARE, INC.
Active
Organization
ADVANCED HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KALBAUGH (CREDENTIALING SPECIALIST)
(336) 878-8824
Entity
Organization
Contact information
Practice address
1231 NE MAYNARD RD, CARY, NC 27513-4175
(919) 852-0052
(800) 311-7783
Mailing address
PO BOX 18049, GREENSBORO, NC 27419-8049
(336) 878-8950
(336) 878-8853
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
HC3706
NC
332B00000X
Durable Medical Equipment & Medical Supplies
01154
NC
332BC3200X
Customized Equipment (DME)
01154
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
01154
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
01154
NC
Other
Enumeration date
05/03/2006
Last updated
07/24/2017
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