# EXTENDED HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1720739972
- **Authorized official:** MS. MARY S BATSON RN (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (770) 256-9898

## Contact information

- **Practice address:** 6740 SHANNON PKWY STE 34, UNION CITY, GA 30291-2058
- **Practice address phone:** (770) 681-0374
- **Mailing address:** 823 GARDEN WALK BLVD APT B, COLLEGE PARK, GA 30349-6256
- **Mailing address phone:** (770) 256-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2022
- **Last updated:** 07/12/2022