Extension Home Health Services LLC

NPI #1477969277 in Mansfield, Texas

Provider Information

NPI Number
1477969277
Entity Type
Organization
Organization Name
Extension Home Health Services LLC
Primary Specialty
Respite Care
Enumeration Date
Jul 1, 2014
Last Updated
Jul 1, 2014

Practice Location

Address
5101 CRESTWATER DR
State
Texas
ZIP Code
76063-6842
Phone
(937) 522-1763

Authorized Official

Name
TANEKA M WALKER, NURSE PRACTITIONER
Title
OWNER
Phone
(937) 522-1763

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)
Respite Care

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