- Enrollment id
- O20021206000012
- Enrollment state
- PA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1730186560
- Multiple npi flag
- N
- Ccn
- 397784
- Associate id
- 7517875792
- Organization name
- ADVANCED HOME HEALTH CARE SPECIALISTS, INC.
- Incorporation date
- 2002-08-26
- Incorporation state
- PA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 207 W GROVE ST
- City
- DUNMORE
- State
- PA
- Zip code
- 185092529