Organization
ADVANTAGE REHAB, INC.
Active
Parent organization
ADVANTAGE HOME CARE, INC.
Other names
Advantage Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANTAGE HOME CARE, INC.
Authorized official
ROBERT JEREMY MARTIN (PRESIDENT)
(505) 828-0232
Entity
Organization
Contact information
Practice address
4600B MONTGOMERY BLVD NE, SUITE 202, ALBUQUERQUE, NM 87109-1218
(505) 828-0232
(505) 823-1051
Mailing address
4600B MONTGOMERY BLVD NE, SUITE 202, ALBUQUERQUE, NM 87109-1218
(505) 828-0232
(505) 823-1051
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
85382027
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85382027
—
NM
Enumeration date
03/05/2007
Last updated
03/16/2009
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