Provider Demographics
NPI:1013789924
Name:ADVOCATE HEALTHCARE CONSULTANTS LLC
Entity Type:Organization
Organization Name:ADVOCATE HEALTHCARE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ISERI
Authorized Official - Middle Name:F
Authorized Official - Last Name:OBADASERAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-888-7728
Mailing Address - Street 1:13104 PRINCEVILLE CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3587
Mailing Address - Country:US
Mailing Address - Phone:201-888-7728
Mailing Address - Fax:
Practice Address - Street 1:13104 PRINCEVILLE CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3587
Practice Address - Country:US
Practice Address - Phone:201-888-7728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services