Extended Care of the Triad LLC

NPI #1861518334 in Archdale, North Carolina

Provider Information

NPI Number: 1861518334
Entity Type: Organization
Organization Name: Extended Care of the Triad LLC
Primary Specialty: Adult Companion
Enumeration Date: Mar 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 313 TRINDALE RD # A
Address 2: STE 203
City: Archdale
State: North Carolina
ZIP Code: 27263-3800
Phone: (336) 861-6826

Authorized Official

Name: MRS. KIM LEA BASS, CNA
Title: OWNER PRESIDENT
Phone: (336) 687-9220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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