Organization
ADVANTAGE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA SHIRL TAYLOR (EXECUTIVE DIRECTOR/OWNER)
(304) 587-9992
Entity
Organization
Contact information
Practice address
15 BANK ST, CLAY, WV 25043
(304) 587-9992
(304) 587-9993
Mailing address
PO BOX 835, CLAY, WV 25043-0835
(304) 587-9992
(304) 587-9993
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22475308
WV
Other
Enumeration date
03/15/2011
Last updated
12/04/2020
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