Extendacare LLC
NPI #1982388393 in Wilson, North Carolina
Provider Information
- NPI Number
- 1982388393
- Entity Type
- Organization
- Organization Name
- Extendacare LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jun 14, 2023
- Last Updated
- Jan 13, 2025
Practice Location
- Address
- 2509 NORTH NASH STREET
- Address 2
- B
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27896
- Phone
- (252) 298-5165
Authorized Official
- Name
- QUANISHA M KING, RN BSN
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (252) 298-5165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
| Case Management |
| Home Health |
| Home Infusion |
| Nursing Care |
| Community/Behavioral Health |
| Durable Medical Equipment & Medical Supplies |
| In Home Supportive Care |
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