Extended Life Personal Care Staffing Agency,llc
NPI #1962962761 in West Memphis, Arkansas
Provider Information
- NPI Number
- 1962962761
- Entity Type
- Organization
- Organization Name
- Extended Life Personal Care Staffing Agency,llc
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Mar 20, 2019
- Last Updated
- Mar 20, 2019
Practice Location
- Address
- 310 MID CONTINENT PLZ STE 460
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301-1700
- Phone
- (501) 316-7839
Authorized Official
- Name
- COLESHA CANNADY
- Title
- OWNER
- Phone
- (501) 316-7839
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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