Organization
EXTENDING GRACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWANIQUE SHAWHAN CREWS BSN RN (DIRECTOR)
(434) 549-2024
Entity
Organization
Contact information
Practice address
139 OLD GREENSBORO ROAD DANVILLE VA 24541, SUITE A, DANVILLE, VA 24541
(434) 549-2024
Mailing address
139 OLD GREENSBORO ROAD DANVILLE VA 24541, SUITE A, DANVILLE, VA 24541
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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