Provider Demographics
NPI:1346002680
Name:ADVANTAGE PRIVATE NURSING SERVICES INC
Entity Type:Organization
Organization Name:ADVANTAGE PRIVATE NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:KUDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:850-258-4416
Mailing Address - Street 1:524 W. CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024
Mailing Address - Country:US
Mailing Address - Phone:269-324-1180
Mailing Address - Fax:269-324-1175
Practice Address - Street 1:524 W. CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024
Practice Address - Country:US
Practice Address - Phone:269-324-1180
Practice Address - Fax:269-324-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty