# COMPANION EXTRAORDINAIRE HOME HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Companion Extraordinaire Skilled Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235552001
- **Authorized official:** MRS. DAWN L BENINGHOVE RN (ADMINISTRATOR)
- **Authorized official phone:** (804) 496-6471

## Contact information

- **Practice address:** 112 ENGLAND ST STE A, ASHLAND, VA 23005-2083
- **Practice address phone:** (804) 496-6471
- **Practice address fax:** (804) 496-6077
- **Mailing address:** 112 ENGLAND ST STE A, ASHLAND, VA 23005-2083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 01/29/2014