Organization
ADVANCED HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA CAOILI AGNO R.N. (ADMINISTRATOR/MANAGING MEMBER)
(217) 726-6956
Entity
Organization
Contact information
Practice address
3900 PINTAIL DRIVE, SUITE A, SPRINGFIELD, IL 62711-7380
(217) 726-6956
(217) 726-7082
Mailing address
3900 PINTAIL DRIVE, SUITE A, SPRINGFIELD, IL 62711-7380
(217) 726-6956
(217) 726-7082
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204562962001
—
IL
Enumeration date
01/08/2007
Last updated
12/15/2011
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