Extended Family Care LLC
NPI #1700172392 in Manchester, Tennessee
Provider Information
- NPI Number
- 1700172392
- Entity Type
- Organization
- Organization Name
- Extended Family Care LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 22, 2011
- Last Updated
- Oct 23, 2015
Practice Location
- Address
- 30 POWERS BRIDGE RD
- City
- Manchester
- State
- Tennessee
- ZIP Code
- 37355-2806
- Phone
- (931) 954-5225
Authorized Official
- Name
- MRS. ROSE LONNETTE DODGE
- Title
- ADMINISTRATOR / OWNER
- Phone
- (931) 952-3499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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