| Extended Support Services, Inc. | |
|
131 Lingenfelter Rd Bedford PA 15522-6636 | |
| (814) 623-1770 | |
| Not Available |
| Full Name | Extended Support Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 131 Lingenfelter Rd, Bedford, Pennsylvania |
| Authorized Official Name and Position | Gennifer Washington (OWNER) |
| Authorized Official Contact | 8146231770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Support Services, Inc. Po Box 620 Bedford PA 15522-0620 Ph: (814) 623-1770 | Extended Support Services, Inc. 131 Lingenfelter Rd Bedford PA 15522-6636 Ph: (814) 623-1770 |
| NPI Number | 1659122836 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659122836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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