Organization
EXTENDED CARE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX ZAWOLOKA MD (PRESIDENT)
(516) 220-5760
Entity
Organization
Contact information
Practice address
1801 CAMELOT DR, VIRGINIA BEACH, VA 23454-2401
(516) 220-5760
Mailing address
3816 OLD SHELL RD, VIRGINIA BEACH, VA 23452-4723
(516) 220-5760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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