Organization
ADVENT CARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY BACON PHILLIPS (VICE PRESIDENT/COO)
(912) 876-3200
Entity
Organization
Contact information
Practice address
745 SOUTH MAIN, 745, HINESVILLE, GA 31313
(912) 876-3200
(912) 876-3236
Mailing address
745 SOUTH MAIN STREET, HINESVILLE, GA 31313
(912) 876-3200
(912) 876-3236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
GA
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
—
—
311ZA0620X
Adult Care Home Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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