Organization
ADVANTAGE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA JEAN VOGEL LCSW (ADMINISTRATOR)
(970) 245-2326
Entity
Organization
Contact information
Practice address
972 WALNUT AVE, GRAND JUNCTION, CO 81501
(970) 245-2326
(970) 245-2878
Mailing address
972 WALNUT AVE, GRAND JUNCTION, CO 81501
(970) 245-2326
(970) 245-2878
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL-0972
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131064
TRADING PARTNER ID
CO
05
—
32600038
—
CO
Enumeration date
02/06/2007
Last updated
06/16/2008
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