Extended Care INC
NPI #1316957467 in Port St Lucir, Florida
Provider Information
- NPI Number
- 1316957467
- Entity Type
- Organization
- Organization Name
- Extended Care INC
- Primary Specialty
- Home Health
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1434 SE SOLAR ST
- City
- Port St Lucir
- State
- Florida
- ZIP Code
- 34983
- Phone
- (772) 336-7080
Authorized Official
- Name
- MR. THOMAS EDWARD MARTIN
- Title
- AGENCY PROVIDER/OWNER
- Phone
- (772) 323-5384
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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