Organization
AVANCE CARE P.A.
Active
Organization
AVANCE CARE P.A.
Active
Parent organization
MEDVANTX, INC.
Other names
Avance Care - North Raleigh
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
12341 STRICKLAND RD, 102, RALEIGH, NC 27613
(919) 865-8000
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2010-01420
NC
Other
Enumeration date
09/02/2011
Last updated
06/28/2016
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