Advantage Care of North Carolina, LLC

Organization Active NPI Case Management Agency · La Grange, NC

NPI 1629259676 · NPPES record last updated Nov 19, 2007

Key facts

NPI
1629259676
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
ADVANTAGE CARE OF NORTH CAROLINA, LLC
Practice address
111 S Caswell St
La Grange, NC 28551-1707
Phone
(252) 559-0755
NPI assigned
Nov 19, 2007
Organization subpart
No

Authorized official

Name
Mr. David M. Crisp Sr.
Title
Ceo
Phone
(252) 559-0755

National Provider Directory

Locations

111 S Caswell St
La Grange, NC 28551
Phone (252) 559-0755

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

111 S Caswell St
La Grange, NC 28551-1707

Mailing address

PO Box 37
La Grange, NC 28551-0037
Phone (252) 559-0755

Other providers in La Grange, NC

All providers in La Grange, NC · Case Management Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.