Provider Demographics
NPI:1407138084
Name:ADVANTAGES IN LIFE INC
Entity Type:Organization
Organization Name:ADVANTAGES IN LIFE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-987-9826
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-0220
Mailing Address - Country:US
Mailing Address - Phone:515-987-9826
Mailing Address - Fax:515-987-9916
Practice Address - Street 1:670 ELM
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263
Practice Address - Country:US
Practice Address - Phone:515-987-9826
Practice Address - Fax:515-987-9916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0704250Medicaid