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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
525 AMHERST ST, STE 100, WINCHESTER, VA 22601-3881
(540) 635-7444
(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
0206000001
VA
332BX2000X
Oxygen Equipment & Supplies (DME)
0206000001
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457707713
VA
Enumeration date
05/05/2016
Last updated
06/20/2017
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