| NPI | 1053795732 |
|---|---|
| Doing Business As | AGE ADVANTAGE SENIOR CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | VINCENT R. MEDINA President 757-340-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HCO-151016) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |