Organization
EXTENSIONS OF LIVING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE ALEXANDRIA ROBINSON ADMINISTRATOR (BILLING OFFICER STAFF NURSE)
(252) 514-2727
Entity
Organization
Contact information
Practice address
209 NO 35TH ST, SUITE 1 & 5, MOREHEAD, NC 28557-3103
(252) 728-2338
(252) 514-2770
Mailing address
209 N 35TH STREET, MOREHEAD, NC 28557-3103
(252) 726-2338
(252) 514-2770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC2541
—
NC
Enumeration date
04/18/2007
Last updated
08/22/2020
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