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Organization

COMPANION EXTRAORDINAIRE HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN BENINGHOVE RN (OWNER/ADMINISTRATOR)
(804) 752-2205
Entity
Organization

Contact information

Practice address
112 ENGLAND STREET, SUITE A, ASHLAND, VA 23005
(804) 752-2205
(804) 752-3403
Mailing address
P.O. BOX 734, 112 ENGLAND STREET SUITE A, ASHLAND, VA 23005
(804) 752-2205
(804) 752-3403

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
385H00000X
Respite Care

Other

Enumeration date
05/12/2015
Last updated
05/12/2015
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