Organization
ADVANTAGE CARE #0001 LLC
Active
Other names
Advantage Care
Organization subpart
No
Provider details
NPI number
Authorized official
VALENA JORDAN (BUSINESS DEVELOPMENT SPECIALIST)
(602) 782-0216
Entity
Organization
Contact information
Practice address
1010 W EUCLID AVE, PHOENIX, AZ 85041-8345
(714) 272-8600
Mailing address
668 N COAST HWY STE 516, LAGUNA BEACH, CA 92651-1513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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