Organization
EXTENDING A HAND HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET JORDAN LOWE (DIRECTOR OF OPERATIONS)
(706) 825-1687
Entity
Organization
Contact information
Practice address
207 MILL LN, TENNILLE, GA 31089-4308
(888) 552-7874
(888) 491-7373
Mailing address
PO BOX 301, TENNILLE, GA 31089-0301
(888) 552-7874
(888) 491-7373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251E00000X
Home Health Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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