Organization
ADVANCED HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA J KEEN (COO)
(615) 690-4427
Entity
Organization
Contact information
Practice address
58 N WASHINGTON AVE, SUITE 516, PULASKI, VA 24301-5732
(540) 994-9811
(540) 994-9760
Mailing address
PO BOX 1996, PULASKI, VA 24301-1910
(540) 994-9811
(540) 994-9760
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4974549
—
VA
Enumeration date
09/07/2005
Last updated
05/02/2008
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