# EXTENDING A HAND HOME CARE

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

## Provider details

- **NPI number:** 1407455462
- **Authorized official:** BRIDGET JORDAN LOWE (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (706) 825-1687

## Contact information

- **Practice address:** 207 MILL LN, TENNILLE, GA 31089-4308
- **Practice address phone:** (888) 552-7874
- **Practice address fax:** (888) 491-7373
- **Mailing address:** PO BOX 301, TENNILLE, GA 31089-0301
- **Mailing address phone:** (888) 552-7874
- **Mailing address fax:** (888) 491-7373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/21/2020
- **Last updated:** 10/21/2020