Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Clinic/Center |
261Q00000X | |||
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Urgent Care |
261QU0200X |
| NPI # | 1891428595 |
| LBN Legal business name | ADVANTAGE FAMILY CARE INC |
| Authorized official | STEPHANIE HICKS - (CONTROLLER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/08/2022 |
| Last updated | 03/26/2025 - More than a year ago |
| Identifiers | n/a |
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