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Organization

EXTENDED HOME CARE CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA J ERHART (VICE PRESIDENT)
(701) 751-3363
Entity
Organization

Contact information

Practice address
109 COLLINS AVE, MANDAN, ND 58554-3104
(701) 751-3363
(701) 751-1163
Mailing address
109 COLLINS AVE, MANDAN, ND 58554-3104
(701) 751-3363
(701) 751-1163

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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