Organization
COMPANION EXTRAORDINAIRE HOME HEALTHCARE, LLC
Active
Other names
Companion Extraordinaire Skilled Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN L BENINGHOVE RN (ADMINISTRATOR)
(804) 496-6471
Entity
Organization
Contact information
Practice address
112 ENGLAND ST STE A, ASHLAND, VA 23005-2083
(804) 496-6471
(804) 496-6077
Mailing address
112 ENGLAND ST STE A, ASHLAND, VA 23005-2083
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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