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Organization

ADVANTIS HOME CARE, INC.

Active
Other names
Advantis Home Care, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESSICA M TAGLE (ADMINISTRATOR)
(305) 631-1075
Entity
Organization

Contact information

Practice address
8801 SW 132ND ST, MIAMI, FL 33176-5926
(305) 631-1075
(305) 631-1590
Mailing address
8801 SW 132ND ST, MIAMI, FL 33176-5926
(305) 631-1075
(305) 631-1590

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA299992041
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10-8275
MEDICARE PTAN
FL
05
651193700
FL
Enumeration date
11/01/2006
Last updated
01/26/2023
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