# ADVANTAGE PERSONAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992043780
- **Authorized official:** ABBAS MICHAEL KHAVARI (OWNER)
- **Authorized official phone:** (505) 681-1200

## Contact information

- **Practice address:** 588 CANAL BLVD SW, LOS LUNAS, NM 87031-8603
- **Practice address phone:** (505) 681-1200
- **Mailing address:** 588 CANAL BLVD SW, LOS LUNAS, NM 87031
- **Mailing address phone:** (505) 681-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 03260555002 | NM | Yes |

## Other

- **Enumeration date:** 01/29/2013
- **Last updated:** 01/29/2013