Organization
ADVANTAGE INFUSION GROUP, LLC
Active
Other names
Advantage Infusion Group
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA K MASANZ RN (ADMINISTRATOR)
(260) 348-0793
Entity
Organization
Contact information
Practice address
503 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6705
(260) 348-0793
Mailing address
503 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6705
(260) 348-0793
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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