Organization
ADVANCED HEALTH CARE, INC.
Active
Other names
Advanced Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD G. BODE (PRESIDENT)
(253) 475-7744
Entity
Organization
Contact information
Practice address
9116 GRAVELLY LAKE DR SW, SUITE B1, TACOMA, WA 98499-3148
(253) 475-7744
(253) 471-1552
Mailing address
9116 GRAVELLY LAKE DR SW, SUITE B1, TACOMA, WA 98499-3148
(253) 475-7744
(253) 471-1552
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS-206
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095104
DEPT. OF LABOR/INDUSTRIES
WA
Enumeration date
09/12/2005
Last updated
10/20/2007
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