Provider Demographics
NPI:1356585046
Name:ADVANCE HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:ADVANCE HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-721-6801
Mailing Address - Street 1:550 NEWARK AVE STE 402B
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1326
Mailing Address - Country:US
Mailing Address - Phone:201-721-6801
Mailing Address - Fax:201-721-6796
Practice Address - Street 1:550 NEWARK AVE STE 402B
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1326
Practice Address - Country:US
Practice Address - Phone:201-721-6801
Practice Address - Fax:201-721-6796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0126500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health