Organization
ADVANTAGE CARE OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M. CRISP SR. (CEO)
(252) 559-0755
Entity
Organization
Contact information
Practice address
111 S CASWELL ST, LA GRANGE, NC 28551-1707
(252) 559-0755
Mailing address
PO BOX 37, LA GRANGE, NC 28551-0037
(252) 559-0755
(252) 566-0337
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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