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Organization
EXTENSIONS OF LIVING, L.L.C.
Active
Organization
EXTENSIONS OF LIVING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE ALEXANDRIA ROBINSON ADMINISTRATOR (BILLING OFFICER STAFF NURSE)
(252) 514-2727
Entity
Organization
Contact information
Practice address
804 E MARKET ST, SMITHFIELD, NC 27577-4616
(910) 485-8370
(252) 514-2770
Mailing address
725 PROFESSIONAL DR, NEW BERN, NC 28560-4547
(910) 485-8370
(252) 514-2770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC3198
—
NC
Enumeration date
04/17/2007
Last updated
08/22/2020
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