Organization
EXTENDED HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA HARRIS RN-BSN (ADMINISTRATOR)
(478) 746-9988
Entity
Organization
Contact information
Practice address
2733 SHERATON DR, BLDG. F-165, MACON, GA 31204-6826
(478) 746-9988
(478) 746-5111
Mailing address
2733 SHERATON DR, BLDG. F-165, MACON, GA 31204-6826
(478) 746-9988
(478) 746-5111
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
011-R-0034
GA
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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