Provider Demographics
NPI:1386381333
Name:HEALTH MAINTENANCE ADVANTAGE, PLLC
Entity type:Organization
Organization Name:HEALTH MAINTENANCE ADVANTAGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN CERTIFIED CASE MA
Authorized Official - Phone:502-488-8715
Mailing Address - Street 1:10200 FOREST GREEN BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5167
Mailing Address - Country:US
Mailing Address - Phone:502-488-8715
Mailing Address - Fax:
Practice Address - Street 1:585 WALNUT HILL RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2907
Practice Address - Country:US
Practice Address - Phone:502-488-8715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management