# EXTENDED FAMILY ALR INC

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

## Provider details

- **NPI number:** 1356764823
- **Authorized official:** MR. MATTHEW HAWKINS SR. (PRESIDENT)
- **Authorized official phone:** (386) 957-3907

## Contact information

- **Practice address:** 1020 CLAUDIA ST, NEW SMYRNA BEACH, FL 32168-6354
- **Practice address phone:** (386) 957-3907
- **Practice address fax:** (386) 957-6316
- **Mailing address:** 2505 W LAKE DR, DELAND, FL 32724-3245
- **Mailing address phone:** (386) 957-3907
- **Mailing address fax:** (386) 957-6316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | AL12247 | FL | Yes |

## Other

- **Enumeration date:** 02/03/2014
- **Last updated:** 02/03/2014