Organization
EXTENSIONS OF LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE ALEXANDRIA ROBINSON STAFF NURSE (ADMINISTRATOR)
(252) 514-2727
Entity
Organization
Contact information
Practice address
725 PROFESSIONAL DR, NEW BERN, NC 28560-4547
(252) 514-2727
(252) 514-2770
Mailing address
725 PROFESSIONAL DR, NEW BERN, NC 28560-4547
(252) 514-2727
(252) 514-2770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2394
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409572
—
NC
05
—
6600976
—
NC
05
—
66011506
—
NC
05
—
66011507
—
NC
05
—
66011508
—
NC
Enumeration date
02/21/2007
Last updated
08/22/2020
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