Provider Demographics
NPI:1114789369
Name:ADVANCE FAMILY SERVICES
Entity Type:Organization
Organization Name:ADVANCE FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-515-0541
Mailing Address - Street 1:10000 W 9 MILE RD APT 5
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2970
Mailing Address - Country:US
Mailing Address - Phone:313-515-0541
Mailing Address - Fax:
Practice Address - Street 1:10000 W 9 MILE RD APT 5
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2970
Practice Address - Country:US
Practice Address - Phone:313-515-0541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care