Organization
HOMECARE ADVANTAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN M ANDERSON RN (ADMINISTRATOR)
(920) 437-0496
Entity
Organization
Contact information
Practice address
1496 BELLEVUE ST, SUITE 501, GREEN BAY, WI 54311-4205
(920) 437-0496
(920) 437-8206
Mailing address
1496 BELLEVUE ST, SUITE 501, GREEN BAY, WI 54311-4205
(920) 437-0496
(920) 437-8206
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41509700
—
WI
Enumeration date
03/16/2007
Last updated
05/04/2011
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