# EXTREME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1881846418
- **Authorized official:** MS. EVELYN AMANDA ROSARIO JACKSON (MGR)
- **Authorized official phone:** (813) 731-3250

## Contact information

- **Practice address:** 5604 TOWN N COUNTRY BLVD, TAMPA, FL 33615-4142
- **Practice address phone:** (813) 731-3250
- **Practice address fax:** (313) 731-3252
- **Mailing address:** 5604 TOWN N COUNTRY BLVD, TAMPA, FL 33615-4142
- **Mailing address phone:** (813) 731-3250
- **Mailing address fax:** (313) 731-3252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | FL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | FL | — |
| 311ZA0620X | Adult Care Home Facility | — | FL | — |

## Other

- **Enumeration date:** 10/14/2008
- **Last updated:** 09/09/2013