# ADVANTAGE HOME HEALTH CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advantage Personal Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669812160
- **Authorized official:** MR. ABBAS MICHAEL KHAVARI (HOME HEALTH AGENCY DIRECTOR)
- **Authorized official phone:** (505) 866-1407

## Contact information

- **Practice address:** 588 CANAL BLVD SW, LOS LUNAS, NM 87031-8603
- **Practice address phone:** (505) 866-1407
- **Practice address fax:** (505) 866-1407
- **Mailing address:** PO BOX 2939, LOS LUNAS, NM 87031-2939
- **Mailing address phone:** (505) 866-1407
- **Mailing address fax:** (505) 866-1407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1T3448 | NM | Yes |

## Other

- **Enumeration date:** 06/28/2013
- **Last updated:** 06/28/2013
