Provider Demographics
NPI:1851107833
Name:ADV. HEALTH & SAFETY INFORMATIONAL SERVICES
Entity type:Organization
Organization Name:ADV. HEALTH & SAFETY INFORMATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-404-9868
Mailing Address - Street 1:115 W SHEPHERD AVE
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3808
Mailing Address - Country:US
Mailing Address - Phone:936-404-9868
Mailing Address - Fax:
Practice Address - Street 1:115 W SHEPHERD AVE
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3808
Practice Address - Country:US
Practice Address - Phone:936-404-9868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management