| NPI | 1518668276 |
|---|---|
| Doing Business As | MY EXTENDED FAMILY RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | BONIA BAPTISTE Admin Manager 239-285-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |