- Enrollment id
- O20090423000486
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1477768521
- Multiple npi flag
- N
- Ccn
- 671644
- Associate id
- 2961550314
- Organization name
- AADVANTAGE HEALTH & HOSPICE CARE SYSTEMS, INC.
- Incorporation date
- 2007-02-27
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9100 SOUTHWEST FWY
- Address line 2
- STE 105
- City
- HOUSTON
- State
- TX
- Zip code
- 770741523