Organization
ADVANTAGE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD VERKHOGLAZ (PRINCIPAL)
(201) 489-4899
Entity
Organization
Contact information
Practice address
270 STATE STREET, HACKENSACK, NJ 07601
(201) 489-4899
Mailing address
270 STATE STREET, HACKENSACK, NJ 07601
(201) 489-4899
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0058600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061646
—
NJ
Enumeration date
03/22/2007
Last updated
04/19/2012
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