Organization
ADVANCE HEALTH CARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LENICK (CEO)
(602) 870-3521
Entity
Organization
Contact information
Practice address
111 E DUNLAP AVE, SUITE 1-125, PHOENIX, AZ 85020-2807
(602) 870-3521
(602) 926-8393
Mailing address
111 E DUNLAP AVE, SUITE 1-125, PHOENIX, AZ 85020-2807
(602) 870-3521
(602) 926-8393
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
03008202
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9058934
—
WA
05
—
944688
—
AZ
05
—
XDME03012
—
CA
Enumeration date
05/01/2006
Last updated
04/22/2010
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