Provider Demographics
NPI:1346585981
Name:ADVOCATE HEALTH SERVICES,LLC
Entity Type:Organization
Organization Name:ADVOCATE HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:H
Authorized Official - Last Name:BAER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:410-638-5078
Mailing Address - Street 1:1109 TIMBERLEA DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2432
Mailing Address - Country:US
Mailing Address - Phone:410-638-5078
Mailing Address - Fax:
Practice Address - Street 1:109 W BEL AIR AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-3221
Practice Address - Country:US
Practice Address - Phone:410-638-5078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-08
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health