NPI 1124419189

Advantage Home Care LLC

Organisation Case Management Agency Clay, WV

Practice location

Address: 151 Main Street, Clay, WV 25043
Phone: (304) 587-9992
Fax: (304) 587-9993
Mailing address: PO Box 835, Clay, WV 25043-0835

Authorised official

Name: Crystal Dawn Coulter
Title: Manager
Phone: (304) 587-9992

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 22475308 (WV)

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Registry record

NPI: 1124419189
Entity type: Organization
NPI issued: 12 Feb 2015
Record last updated: 12 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.