# LOVING HANDS EXTENDED HOME SERVICES LLC

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

## Provider details

- **NPI number:** 1043744394
- **Authorized official:** MRS. PEGGY D CHESTER NURSE (NURSING ADMINISTRATOR)
- **Authorized official phone:** (229) 434-1372

## Contact information

- **Practice address:** 1906 DAWSON RD, ALBANY, GA 31707-3306
- **Practice address phone:** (229) 434-1372
- **Mailing address:** 1906 DAWSON RD, ALBANY, GA 31707-3306
- **Mailing address phone:** (229) 434-1372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/13/2017
- **Last updated:** 04/26/2021