Organization
DDEXTENDED CARE SERVICES
Active
Other names
DDEXTENDED CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN BROWN (RN)
(845) 987-8408
Entity
Organization
Contact information
Practice address
139 EVAN RD, WARWICK, NY 10990-4022
(845) 987-8408
Mailing address
139 EVAN RD, WARWICK, NY 10990-4022
(845) 987-8408
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
625885
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02103804
—
NY
01
—
1386792497
NPI
NY
Enumeration date
03/11/2011
Last updated
03/11/2011
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