Organization
EXTENDED LIFE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA J. ERHART (CEO)
(701) 426-2087
Entity
Organization
Contact information
Practice address
4024 AVONDALE DR, BISMARCK, ND 58503-0635
(701) 426-2087
Mailing address
4024 AVONDALE DR, BISMARCK, ND 58503-0635
(701) 426-2087
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
09/11/2012
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