Organization
EXTENDED COMFORT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEONTAY DAVIS (OWNER)
(314) 224-1293
Entity
Organization
Contact information
Practice address
6535 JESSE JACKSON AVE, SAINT LOUIS, MO 63121-5706
(314) 224-1293
Mailing address
6535 JESSE JACKSON AVE, SAINT LOUIS, MO 63121-5706
(314) 224-1293
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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