Advance Healthcare Providers LLC

NPI #1174085633 in Clinton, Maryland

Provider Information

NPI Number: 1174085633
Entity Type: Organization
Organization Name: Advance Healthcare Providers LLC
Primary Specialty: Home Health Aide
Enumeration Date: Apr 3, 2019
Last Updated: Apr 3, 2019

Practice Location

Address: 2709 PUMPKIN ST
City: Clinton
State: Maryland
ZIP Code: 20735-1057
Phone: (240) 606-0242

Authorized Official

Name: JAPHET MUTANGA
Title: ADMINISTRATOR
Phone: (240) 606-0242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Licensed Practical Nurse	164W00000X
In Home Supportive Care	253Z00000X
Home Health Aide	374U00000X	Primary

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