# FAMILY CARE EXTENDED, INC.

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

## Provider details

- **NPI number:** 1417919010
- **Authorized official:** MR. ANATOLIY S RIVKIN (VP)
- **Authorized official phone:** (781) 449-5155

## Contact information

- **Practice address:** 687 HIGHLAND AVE, NEEDHAM, MA 02494-2232
- **Practice address phone:** (781) 449-5155
- **Mailing address:** 687 HIGHLAND AVE, NEEDHAM, MA 02494-2232
- **Mailing address phone:** (781) 449-5155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 12/21/2011