Provider Demographics
NPI:1932479219
Name:WORLD ADVANCE INC.
Entity Type:Organization
Organization Name:WORLD ADVANCE INC.
Other - Org Name:WAI GROUP HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-429-8971
Mailing Address - Street 1:110 TINE LN
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:AL
Mailing Address - Zip Code:35761-7684
Mailing Address - Country:US
Mailing Address - Phone:256-929-1168
Mailing Address - Fax:256-929-1168
Practice Address - Street 1:110 TINE LN
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:AL
Practice Address - Zip Code:35761-7684
Practice Address - Country:US
Practice Address - Phone:256-929-1168
Practice Address - Fax:256-929-1168
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WORLD ADVANCE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health