Organization
ADVANTAGE HEALTH SYSTEMS
Active
Other names
CarePro Medical One
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE M AIKEN (COO)
(803) 758-4000
Entity
Organization
Contact information
Practice address
106 DOCTORS CIR, COLUMBIA, SC 29203-6500
(803) 758-4070
Mailing address
106 DOCTORS CIR, COLUMBIA, SC 29203-6500
(803) 758-4070
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0212
—
SC
Enumeration date
05/01/2008
Last updated
05/01/2008
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