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Organization

ADVANTAGE CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL WALDIE (OFFICE MANAGER)
(434) 572-8272
Entity
Organization

Contact information

Practice address
1129 N MAIN ST, SOUTH BOSTON, VA 24592-2547
(434) 572-8272
(434) 572-8503
Mailing address
1129 N MAIN ST, SOUTH BOSTON, VA 24592-2547
(434) 572-8272
(434) 572-8503

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0101021765
VA

Other

Enumeration date
11/13/2007
Last updated
11/13/2007
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