Organization
AADVANCE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENE FYNN BANSAH (DIRECTOR OF NURSING)
(443) 791-1456
Entity
Organization
Contact information
Practice address
126 E BURKE ST, MARTINSBURG, WV 25401-4302
(443) 791-1456
(410) 744-8200
Mailing address
126 E BURKE ST, MARTINSBURG, WV 25401-4302
(443) 791-1456
(410) 744-8200
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/10/2017
Last updated
12/10/2017
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