Advanced Home Care, Inc.

NPI #1356531966 in Wise, Virginia

Provider Information

NPI Number: 1356531966
Entity Type: Organization
Organization Name: Advanced Home Care, Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jul 30, 2007
Last Updated: Oct 9, 2017

Practice Location

Address: 165 PLAZA RD
Address 2: STE 20
City: Wise
State: Virginia
ZIP Code: 24293-4613
Phone: (276) 679-6269

Authorized Official

Name: MIKE KALBAUGH
Title: CREDENTIALING SPECIALIST
Phone: (336) 878-8824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies — Nursing Facility Supplies	332BN1400X
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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