Provider Demographics
NPI:1881989218
Name:ADVANTAGEPLUSAGENCY.COM
Entity type:Organization
Organization Name:ADVANTAGEPLUSAGENCY.COM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.F.O
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WEATHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-884-7300
Mailing Address - Street 1:22048 SHERMAN WAY STE 303
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3011
Mailing Address - Country:US
Mailing Address - Phone:818-884-7300
Mailing Address - Fax:818-884-7311
Practice Address - Street 1:22048 SHERMAN WAY STE 303
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3011
Practice Address - Country:US
Practice Address - Phone:818-884-7300
Practice Address - Fax:818-884-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care