11D0696334 CLIA NUMBER - ADVANTAGE HOME HEALTH

Laboratory Demographics

CLIA Number: 11D0696334

Facility Name: ADVANTAGE HOME HEALTH

Facility Address:
4635 NEW JESUP HWY
BRUNSWICK, GA
ZIP 31520
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Facility Phone Number: 912 265-8330

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1528052073

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	11D0696334
LAB Type	Home Health Agency
Facility Name	ADVANTAGE HOME HEALTH
Street	4635 NEW JESUP HWY
City	BRUNSWICK
State	GA
ZIP	31520
Phone	912 265-8330
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024