Provider Demographics
NPI:1710316542
Name:ADVANCE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ADVANCE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LIBAN
Authorized Official - Middle Name:SALAD
Authorized Official - Last Name:SALAH
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:614-592-9150
Mailing Address - Street 1:3052 ROLLINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3475
Mailing Address - Country:US
Mailing Address - Phone:614-952-9150
Mailing Address - Fax:
Practice Address - Street 1:3052 ROLLINGWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3475
Practice Address - Country:US
Practice Address - Phone:614-952-9150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health