Extensions Of Living, L.L.C.
Home Health in Fayetteville, NC. Organization (NPI-2).
NPI number1982829453
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982829453
- Entity type
- Organization (NPI-2)
- Legal business name
- Extensions Of Living, L.L.C.
- Organization subpart
- No
- Enumeration date
- Apr 17, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HC3021 | NC | Yes |
Practice location
4939 Bragg BlvdSuite #202
Fayetteville, NC 28303-3686
Phone 910-485-8370 · Fax 252-514-2770
Mailing address
4939 Bragg BlvdSuite #202
Fayetteville, NC 28303-3686
Phone 910-485-8370 · Fax 252-514-2770
Authorized official
Monique Alexandria Robinson
Billing Officer Staff Nurse
2525142727
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All 175 Home Health Agency providers in Fayetteville · All 9,765 providers in Fayetteville
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