# EXTENDED FAMILY HOME CARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205665742
- **Authorized official:** ANDREW PAUL (OWNER/PRESIDENT)
- **Authorized official phone:** (303) 726-5052

## Contact information

- **Practice address:** 8753 YATES DR STE 200-16, WESTMINSTER, CO 80031-6947
- **Practice address phone:** (303) 726-5052
- **Mailing address:** 6675 S LEMAY AVE APT A12, FORT COLLINS, CO 80525-9440
- **Mailing address phone:** (303) 726-5052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2024
- **Last updated:** 08/27/2024