NPI 1689714875

Advantica Dc-Nova, LLC

Organisation PACE Provider Organization Ellicott City, MD

Practice location

Address: 3290 Pine Orchard Ln Suite D, Ellicott City, MD 21042-2374
Phone: (866) 425-2323

Authorised official

Name: Linda Sauer
Title: Chief Operations Officer
Phone: (866) 425-2323

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Maryland →

Registry record

NPI: 1689714875
Entity type: Organization
NPI issued: 7 Feb 2007
Record last updated: 22 Aug 2020

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.