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Organization
ADVANCE LIFE CARE INC
Active
Organization
ADVANCE LIFE CARE INC
Active
Other names
ONE LIFE SOURCE
Organization subpart
No
Provider details
NPI number
Authorized official
DOWIL HENRY (OWNER)
(305) 907-7554
Entity
Organization
Contact information
Practice address
9628 NE 2ND AVE # B3, MIAMI SHORES, FL 33138-2767
(305) 907-7554
(305) 907-7554
Mailing address
9628 NE 2ND AVE # B3, MIAMI SHORES, FL 33138-2767
(305) 907-7554
(305) 907-7554
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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