Organization
EXTENSIONU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA WADE (OWNER)
(937) 867-8155
Entity
Organization
Contact information
Practice address
5168 OSCEOLA DR, DAYTON, OH 45417-8215
(937) 867-8155
(513) 351-2650
Mailing address
5168 OSCEOLA DR, DAYTON, OH 45417-8215
(513) 351-2650
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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