Advantica Southwest Virginia, LLC

NPI #1538200027 in Ellicott City, Maryland

Provider Information

NPI Number
1538200027
Entity Type
Organization
Organization Name
Advantica Southwest Virginia, LLC
Primary Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date
Feb 9, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
3290 PINE ORCHARD LN
Address 2
SUITE D
ZIP Code
21042-2374
Phone
(866) 425-2323

Authorized Official

Name
MS. LINDA SAUER
Title
CHIEF OPERATIONS OFFICER
Phone
(866) 425-2323

Specialties & Taxonomy Codes

Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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