Organization
EXTENDED CARE PRODUCTS INC
Active
Other names
ECP
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY R LEWIS (PRESIDENT)
(423) 975-5455
Entity
Organization
Contact information
Practice address
2020 NORTHPARK DR, SUITE 2F, JOHNSON CITY, TN 37604-3100
(423) 975-5455
(423) 975-5405
Mailing address
2020 NORTHPARK DR, SUITE 2F, JOHNSON CITY, TN 37604-3100
(423) 975-5455
(423) 975-5405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3562745
—
TN
05
—
90262494
—
KY
Enumeration date
12/01/2005
Last updated
03/04/2008
Update your record
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