Organization
ADVANTAGE HOME HEALTH CARE SERVICES LLC
Active
Other names
Advantage Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABBAS MICHAEL KHAVARI (HOME HEALTH AGENCY DIRECTOR)
(505) 866-1407
Entity
Organization
Contact information
Practice address
588 CANAL BLVD SW, LOS LUNAS, NM 87031-8603
(505) 866-1407
(505) 866-1407
Mailing address
PO BOX 2939, LOS LUNAS, NM 87031-2939
(505) 866-1407
(505) 866-1407
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1T3448
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1T3448
NEW MEXICO DEPARTMENT OF HEALTH
NM
Enumeration date
06/28/2013
Last updated
06/28/2013
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