Organization
EXTENDED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY EARLE (ADMINISTRATOR)
(954) 275-3446
Entity
Organization
Contact information
Practice address
5423 HARRISON ST, HOLLYWOOD, FL 33021-6406
(954) 967-8428
(954) 589-5230
Mailing address
5423 HARRISON ST, HOLLYWOOD, FL 33021-6406
(954) 967-8428
(954) 589-5230
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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