Organization
ADVANTAGE PROS CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH YOUNG (OWNER)
(803) 463-2556
Entity
Organization
Contact information
Practice address
2712 MIDDLEBURG, COLUMBIA, SC 29204-2424
(803) 463-2556
Mailing address
2712 MIDDLEBURG, COLUMBIA, SC 29204-2424
(803) 463-2556
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1023
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023
—
SC
Enumeration date
05/16/2014
Last updated
05/16/2014
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