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Organization

ADVANCED HOME CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE 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
(800) 311-7783

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
02/21/2013
Last updated
10/09/2017
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