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Organization
EXTENDED HOLDING COMPANY, LLC
Active
Organization
EXTENDED HOLDING COMPANY, LLC
Active
Other names
Extended at Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ACHILARRE (ADMINISTRATOR)
(212) 356-4200
Entity
Organization
Contact information
Practice address
370 7TH AVE STE 422, NEW YORK, NY 10001-0022
(212) 356-4200
Mailing address
370 7TH AVE STE 422, NEW YORK, NY 10001-0022
(212) 356-4200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2659L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04828593
—
NY
Enumeration date
12/18/2017
Last updated
05/23/2022
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