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Organization
COMPANION EXTRAORDINAIRE HOME HEALTHCARE, LLC
Active
Organization
COMPANION EXTRAORDINAIRE HOME HEALTHCARE, LLC
Active
Other names
Companion Extraordinaire Skilled Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN L BENINGHOVE RN (ADMINISTRATOR)
(804) 496-6471
Entity
Organization
Contact information
Practice address
112 ENGLAND ST STE A, ASHLAND, VA 23005-2083
(804) 496-6471
(804) 496-6077
Mailing address
112 ENGLAND ST STE A, ASHLAND, VA 23005-2083
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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