Provider Demographics
NPI:1457676421
Name:ADVOCACY MEDICINE, LLC
Entity Type:Organization
Organization Name:ADVOCACY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:BACHI
Authorized Official - Last Name:EYOMBO
Authorized Official - Suffix:
Authorized Official - Credentials:OD,EDD,MBA
Authorized Official - Phone:336-253-2566
Mailing Address - Street 1:128 HEALTH CARE LN
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-4009
Mailing Address - Country:US
Mailing Address - Phone:336-253-2566
Mailing Address - Fax:304-596-0381
Practice Address - Street 1:128 HEALTH CARE LN
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-4009
Practice Address - Country:US
Practice Address - Phone:336-253-2566
Practice Address - Fax:304-596-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV251E00000X, 251S00000X
WVAPPLIED FOR251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health