Organization
ADVACARE MEDICAL CORP
Active
Parent organization
ADAVCARE MEDICAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAVCARE MEDICAL CORP
Authorized official
JEREL B STEVENS ATS, CRTS (PRESIDENT)
(913) 780-4700
Entity
Organization
Contact information
Practice address
1710 SW 10TH AVE, TOPEKA, KS 66604-1334
(785) 235-5200
(785) 235-5204
Mailing address
14801 W 117TH ST, OLATHE, KS 66062-9305
(913) 780-4700
(913) 780-4700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100441790A
—
KS
Enumeration date
08/18/2005
Last updated
04/12/2012
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