Extension Home Health Services LLC

NPI #1285038414 in Mansfield, Texas

Provider Information

NPI Number
1285038414
Entity Type
Organization
Organization Name
Extension Home Health Services LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Oct 17, 2014
Last Updated
Oct 17, 2014

Practice Location

Address
5101 CRESTWATER DR
State
Texas
ZIP Code
76063-6842
Phone
(937) 522-1752

Authorized Official

Name
TANEKA WALKER, NP-C
Title
OWNER
Phone
(937) 522-1752

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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