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Organization
VANTAGE PROFESSIONAL SERVICES
Active
Organization
VANTAGE PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A ROBERTS (PRESIDENT)
(301) 221-1033
Entity
Organization
Contact information
Practice address
1401 UNIVERSITY BLVD E, G111, HYATTSVILLE, MD 20783-4029
(301) 221-1033
Mailing address
1401 UNIVERSITY BLVD E, G111, HYATTSVILLE, MD 20783-4029
(301) 221-1033
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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