Provider Demographics
NPI:1467805861
Name:ADVOQUATE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ADVOQUATE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOAHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TINGEM-LOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-758-6588
Mailing Address - Street 1:6411 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912
Mailing Address - Country:US
Mailing Address - Phone:301-758-6588
Mailing Address - Fax:
Practice Address - Street 1:6411 ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4712
Practice Address - Country:US
Practice Address - Phone:301-758-6588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management