Organization
EXTRAHELP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANATOLY NICKOLAY LUKYANOV PHD (PRESIDENT)
(352) 474-8492
Entity
Organization
Contact information
Practice address
1259 MARINA PT APT 301, CASSELBERRY, FL 32707-6476
(352) 474-8492
(352) 332-7187
Mailing address
13200 W NEWBERRY RD APT J50, NEWBERRY, FL 32669-2770
(352) 474-8492
(352) 332-7187
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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