Organization
AN EXTENDED HAND ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVONNIE JETER (CHIEF EXECUTIVE OFFICER)
(206) 854-0277
Entity
Organization
Contact information
Practice address
942 N MAIN ST STE 27, AKRON, OH 44310-1447
(234) 334-1034
Mailing address
942 N MAIN ST STE 27, AKRON, OH 44310-1447
(234) 334-1034
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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