# EXTENDED CARE INC

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

## Provider details

- **NPI number:** 1316957467
- **Authorized official:** MR. THOMAS EDWARD MARTIN (AGENCY PROVIDER/OWNER)
- **Authorized official phone:** (772) 323-5384

## Contact information

- **Practice address:** 1434 SE SOLAR ST, PORT ST LUCIR, FL 34983
- **Practice address phone:** (772) 336-7080
- **Practice address fax:** (772) 879-7504
- **Mailing address:** 1434 SE SOLAR ST, PORT ST LUCIR, FL 34983
- **Mailing address phone:** (772) 336-7080
- **Mailing address fax:** (772) 879-7504

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/22/2020