# EXTENDED CARE SUPPORT, INC.

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

## Provider details

- **NPI number:** 1417009903
- **Authorized official:** JAMES A CASSIN (PRESIDENT)
- **Authorized official phone:** (510) 233-7332

## Contact information

- **Practice address:** 1900 7TH ST, SUITE A, RICHMOND, CA 94801-1640
- **Practice address phone:** (510) 233-7332
- **Practice address fax:** (510) 233-7892
- **Mailing address:** 1900 7TH ST, SUITE A, RICHMOND, CA 94801-1640
- **Mailing address phone:** (510) 233-7332
- **Mailing address fax:** (510) 233-7892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020