Extended Family Care LLC

NPI #1225659956 in Manchester, Tennessee

Provider Information

NPI Number
1225659956
Entity Type
Organization
Organization Name
Extended Family Care LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EXTENDED FAMILY CARE, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 5, 2020
Last Updated
May 15, 2020

Practice Location

Address
1001 MCARTHUR ST
ZIP Code
37355-2419
Phone
(931) 295-0856

Authorized Official

Name
MRS. ROSE L DODGE
Title
ADMINSTRATOR/OWNER
Phone
(319) 952-3499

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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