Organization
EXTENDED HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY S BATSON RN (ADMINISTRATOR/OWNER)
(770) 256-9898
Entity
Organization
Contact information
Practice address
6740 SHANNON PKWY STE 34, UNION CITY, GA 30291-2058
(770) 681-0374
Mailing address
823 GARDEN WALK BLVD APT B, COLLEGE PARK, GA 30349-6256
(770) 256-9898
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
07/12/2022
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