Provider Demographics
NPI:1457729493
Name:EXTENSIONS OF HOPE
Entity Type:Organization
Organization Name:EXTENSIONS OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EUBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-469-2322
Mailing Address - Street 1:5803 FISHER RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-5932
Mailing Address - Country:US
Mailing Address - Phone:202-469-2322
Mailing Address - Fax:
Practice Address - Street 1:5803 FISHER RD
Practice Address - Street 2:SUITE 11
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-5932
Practice Address - Country:US
Practice Address - Phone:202-469-2322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier