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Organization

EXTENDED CARE SPECIALISTS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER RUCCI MD (OWNER)
(855) 743-2247
Entity
Organization

Contact information

Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
(260) 483-9196
Mailing address
PO BOX 392552, PITTSBURGH, PA 15251-9552
(855) 743-2247

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
2084P0800X
Psychiatry Physician
363L00000X
Nurse Practitioner

Other

Enumeration date
09/09/2014
Last updated
09/30/2024
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