Provider Demographics
NPI:1396097150
Name:ADVANCE HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:ADVANCE HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLAWUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-445-3182
Mailing Address - Street 1:24 KENNEDY ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5225
Mailing Address - Country:US
Mailing Address - Phone:202-746-2555
Mailing Address - Fax:
Practice Address - Street 1:1320 FORT STEVENS DR NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5027
Practice Address - Country:US
Practice Address - Phone:202-746-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNSA-0339251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care