Provider Demographics
NPI:1386207033
Name:ADVANZ HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:ADVANZ HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOAGYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-717-8309
Mailing Address - Street 1:1123 N 63RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-3209
Mailing Address - Country:US
Mailing Address - Phone:215-717-8309
Mailing Address - Fax:
Practice Address - Street 1:1123 N 63RD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-3209
Practice Address - Country:US
Practice Address - Phone:215-717-8309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health