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Organization

EXTENSION HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHLEEN MERRITT (VICE PRESIDENT)
(904) 484-8360
Entity
Organization

Contact information

Practice address
2132 GAMMA CT, ORANGE PARK, FL 32073-5110
(904) 494-8360
Mailing address
419A COLLEGE DR, SUITE 1, MIDDLEBURG, FL 32068-6508

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/20/2015
Last updated
10/20/2015
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