Organization
ADVANTAGE PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBAS MICHAEL KHAVARI (OWNER)
(505) 681-1200
Entity
Organization
Contact information
Practice address
588 CANAL BLVD SW, LOS LUNAS, NM 87031-8603
(505) 681-1200
Mailing address
588 CANAL BLVD SW, LOS LUNAS, NM 87031
(505) 681-1200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03260555002
NM
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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