# COMPANION EXTRAORDINAIRE NURSING NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013289784
- **Authorized official:** MRS. DAWN L BENINGHOVE (OWNER/DIRECTOR)
- **Authorized official phone:** (804) 752-2205

## Contact information

- **Practice address:** 112 ENGLAND ST, ASHLAND, VA 23005-2083
- **Practice address phone:** (804) 752-2205
- **Practice address fax:** (804) 752-3403
- **Mailing address:** 112 ENGLAND ST, ASHLAND, VA 23005-2083
- **Mailing address phone:** (804) 752-2205
- **Mailing address fax:** (804) 752-3403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0715000070 | VA | Yes |
| 251J00000X | Nursing Care Agency | 0715000070 | VA | — |
| 253Z00000X | In Home Supportive Care Agency | 0715000070 | VA | — |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 01/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0159264222 | — | VA |