Provider Demographics
NPI:1144615394
Name:ADVANCED HEALTH SERVICES
Entity Type:Organization
Organization Name:ADVANCED HEALTH SERVICES
Other - Org Name:ADVANCED HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D' ANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:QBA
Authorized Official - Phone:702-445-1360
Mailing Address - Street 1:3234 WEBER CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5762
Mailing Address - Country:US
Mailing Address - Phone:702-445-1360
Mailing Address - Fax:702-701-9131
Practice Address - Street 1:3234 WEBER CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-5762
Practice Address - Country:US
Practice Address - Phone:702-445-1360
Practice Address - Fax:702-701-9131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty