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Organization

ADVANCE THE KINGDOM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ADINA Z. BUTLER (CEO)
(724) 375-4459
Entity
Organization

Contact information

Practice address
380 FRANKLIN AVE, ALIQUIPPA, PA 15001-3708
(724) 375-4457
Mailing address
380 FRANKLIN AVE, ALIQUIPPA, PA 15001-3708
(724) 375-4457

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
15933601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102369218
PA
Enumeration date
08/12/2010
Last updated
08/12/2010
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