Organization
ADVANTAGE PLUS HOMECARE, INC.
Active
Other names
Advantage Plus Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA KAY FRAZIER (ADMINISTRATOR)
(409) 489-1496
Entity
Organization
Contact information
Practice address
853 N ZAVALLA ST, JASPER, TX 75951-3119
(409) 489-1496
(409) 489-1153
Mailing address
853 N ZAVALLA ST, JASPER, TX 75951-3119
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0071695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1542763-02
—
TX
Enumeration date
02/28/2007
Last updated
01/14/2010
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