Organization
ADVANCED HOME CARE, INC.
Active
Organization
ADVANCED HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KALBAUGH (CREDENTIALING SPECIALIST)
(336) 878-8824
Entity
Organization
Contact information
Practice address
165 PLAZA RD, STE 20, WISE, VA 24293-4613
(276) 679-6269
(800) 311-7783
Mailing address
PO BOX 18049, GREENSBORO, NC 27419-8049
(336) 878-8950
(800) 311-7783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TO BE ISSUED
VA
332BN1400X
Nursing Facility Supplies (DME)
TO BE ISSUED
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
TO BE ISSUED
VA
332BX2000X
Oxygen Equipment & Supplies (DME)
TO BE ISSUED
VA
Other
Enumeration date
07/30/2007
Last updated
10/09/2017
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