Organization
ADVACARE HOME SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THOMAS CONNER (PRESIDENT)
(878) 214-7021
Entity
Organization
Contact information
Practice address
80 EMERSON LN STE 1302, BRIDGEVILLE, PA 15017-3472
(412) 249-9000
(412) 249-9036
Mailing address
4451 STATE ROUTE 66, APOLLO, PA 15613-2053
(878) 214-7131
(412) 677-1143
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016636070005
—
PA
01
—
221002
HIGHMARK
PA
Enumeration date
07/07/2005
Last updated
01/19/2023
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