Provider Demographics
NPI:1831480144
Name:ADVOCARE, INC.
Entity Type:Organization
Organization Name:ADVOCARE, INC.
Other - Org Name:BETTER LIFE CORF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HO
Authorized Official - Middle Name:KYUNG
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-780-1753
Mailing Address - Street 1:13550 SHERMAN WAY
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2830
Mailing Address - Country:US
Mailing Address - Phone:818-780-1753
Mailing Address - Fax:818-780-1414
Practice Address - Street 1:13550 SHERMAN WAY
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2830
Practice Address - Country:US
Practice Address - Phone:818-780-1753
Practice Address - Fax:818-780-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)