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Organization

EXTENDED HEALTH CARE LLC

Active
Other names
Advantage Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA M. CLARK (VICE CHAIRMAN OF THE BOARD OF DIR)
(901) 881-0645
Entity
Organization

Contact information

Practice address
7424 STATE HWY 64 STE 118, BARTLETT, TN 38113-8937
(901) 881-0645
(901) 881-0647
Mailing address
7424 STATE HWY 64 STE 118, BARTLETT, TN 38113-8937
(901) 881-0645
(901) 881-0647

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000000224
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H447584
TN
Enumeration date
01/13/2012
Last updated
02/18/2025
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