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NPI 1659410629

OrganizationActive

Advantica Virginia, Lcc

NPI 1659410629 · PACE Provider Organization · Ellicott City, MD

Provider details

NPI number: 1659410629
Entity type: Organization
Primary specialty: PACE Provider OrganizationAgencies
Authorized official: Linda Sauer, Chief Operations Officer

Practice location

3290 Pine Orchard Ln

Suite D

Ellicott City, MD 21042-2374

Phone: (866) 425-2323

More MD providers

Mailing address

3290 Pine Orchard Ln

Ellicott City, MD 21042-2374

Registry dates

Enumerated: 2007-02-06
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Advantica Virginia, Lcc — NPI 1659410629, Ellicott City, MD | NPI Central