Organization
EXTENDED CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERLYNETTE MORRIS-GLEATON (CEO/EXEC.DIRECTOR)
(770) 849-0270
Entity
Organization
Contact information
Practice address
5282 STATION CIR, NORCROSS, GA 30071-4501
(770) 849-0270
(770) 849-0279
Mailing address
5282 STATION CIR, NORCROSS, GA 30071-4501
(770) 849-0270
(770) 849-0279
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251T00000X
PACE Provider Organization
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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