Provider Demographics
NPI:1235448960
Name:ADVANCED ENDEAVORS
Entity Type:Organization
Organization Name:ADVANCED ENDEAVORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:COMFORT
Authorized Official - Middle Name:NTSANG
Authorized Official - Last Name:ATANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-819-0640
Mailing Address - Street 1:2000 PECANDALE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6517
Mailing Address - Country:US
Mailing Address - Phone:817-819-0640
Mailing Address - Fax:
Practice Address - Street 1:2000 PECANDALE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6517
Practice Address - Country:US
Practice Address - Phone:817-819-0640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care