Organization
ADVANCED HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KALBAUGH (CREDENTIALING SPECIALIST)
(336) 878-8824
Entity
Organization
Contact information
Practice address
7669 LIMESTONE DR, SUITE 120, GAINESVILLE, VA 20155-4037
(703) 656-2063
(800) 311-7783
Mailing address
PO BOX 18049, GREENSBORO, NC 27419-8049
(336) 878-8950
(336) 878-8883
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
TO BE ISSUED
VA
Other
Enumeration date
02/11/2012
Last updated
03/13/2020
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