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Organization
ADVANCED CARE AGENCY INC.
Active
Organization
ADVANCED CARE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANE S SWINDLE (PRESIDENT)
(386) 478-0399
Entity
Organization
Contact information
Practice address
212 SHANGRI LA CIRCLE, EDGEWATER, FL 32132
(386) 478-0399
(386) 427-6425
Mailing address
212 SHANGRI LA CIRCLE, EDGEWATER, FL 32132
(386) 478-0399
(386) 427-6425
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA51755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692282196
MEDWAIVER PROGRAM STATE
—
Enumeration date
03/05/2008
Last updated
05/07/2010
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