| NPI | 1164770566 |
|---|---|
| Doing Business As | EXTENDED FAMILY CARE LLC |
| Entity Type | Organization |
| Authorized Contact | ADA MAIRE JOHNSON Owner/Operator 504-231-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |