Organization
HOSPICE ADVANTAGE, LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ADKINS (SVP GENERAL COUNSEL)
(615) 309-5668
Entity
Organization
Contact information
Practice address
2960 ALLIED ST STE 105, GREEN BAY, WI 54304-5542
(920) 321-2004
(920) 321-2005
Mailing address
10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
(615) 377-7022
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2036
WI
Other
Enumeration date
02/14/2013
Last updated
05/19/2020
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