Organization
ADVANTAGE NURSING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MOORE (ADMINISTRATOR)
(330) 792-2160
Entity
Organization
Contact information
Practice address
850 N MERIDIAN RD, SUITE A, YOUNGSTOWN, OH 44509-4020
(330) 792-2160
(330) 792-2161
Mailing address
850 N MERIDIAN RD, SUITE A, YOUNGSTOWN, OH 44509-4020
(330) 792-2160
(330) 792-2161
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2122926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201220201084
STATE OF OHIO CERTIFICATE DOMESTIC FOR PROFIT LLC
OH
Enumeration date
08/17/2012
Last updated
12/02/2014
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