# EXTENDED HEALTH SERVICES, INC

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

## Provider details

- **NPI number:** 1093084519
- **Authorized official:** MRS. BRENDA HARRIS RN-BSN (ADMINISTRATOR)
- **Authorized official phone:** (478) 746-9988

## Contact information

- **Practice address:** 2733 SHERATON DR, BLDG. F-165, MACON, GA 31204-6826
- **Practice address phone:** (478) 746-9988
- **Practice address fax:** (478) 746-5111
- **Mailing address:** 2733 SHERATON DR, BLDG. F-165, MACON, GA 31204-6826
- **Mailing address phone:** (478) 746-9988
- **Mailing address fax:** (478) 746-5111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 011-R-0034 | GA | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 12/29/2011