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Organization

EXTREME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE HAGGINS (CEO/PRESIDENT)
(765) 278-8756
Entity
Organization

Contact information

Practice address
1141 E GLENDALE AVE # 1091, PHOENIX, AZ 85020-5316
(941) 336-3348
(480) 916-1886
Mailing address
1141 E GLENDALE AVE # 1091, PHOENIX, AZ 85020-5316
(941) 336-3348

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
02/27/2024
Last updated
05/24/2024
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