Organization
ADVANTAGE SENIOR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELENA KAY DAVIS (OFFICE MANAGER)
(317) 986-5814
Entity
Organization
Contact information
Practice address
3905 VINCENNES RD STE 105, INDIANAPOLIS, IN 46268-3000
(317) 986-5814
(317) 253-0896
Mailing address
3905 VINCENNES RD STE 105, INDIANAPOLIS, IN 46268-3000
(317) 986-5814
(317) 253-0896
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-013202-1
PERSONAL CARE AGENCY
IN
Enumeration date
06/24/2021
Last updated
06/24/2021
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