| NPI | 1821700634 |
|---|---|
| Doing Business As | LIFE ADVANTAGE SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | SANDRA THOMPSON CEO/ Director 804-683-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |