NPI 1477969277
Extension Home Health Services LLC
Practice location
- Address
- 5101 Crestwater Dr, Mansfield, TX 76063-6842
- Phone
- (937) 522-1763
- Mailing address
- PO Box 1441, Mansfield, TX 76063-1441
Authorised official
- Name
- Taneka M Walker
- Title
- Owner
- Phone
- (937) 522-1763
Registered specialties (2)
Respite Care
Primary
Non-emergency Medical Transport (VAN)
Registry record
- NPI
- 1477969277
- Entity type
- Organization
- NPI issued
- 1 Jul 2014
- Record last updated
- 1 Jul 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.