# EXTENDED ARMS RESPITE GROUP

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

## Provider details

- **NPI number:** 1467328062
- **Authorized official:** UCHENNA GREEN (OWNER/CEO)
- **Authorized official phone:** (504) 908-1511

## Contact information

- **Practice address:** 251 ASHTON PARC, SLIDELL, LA 70458-7321
- **Practice address phone:** (504) 490-4055
- **Mailing address:** 636 GAUSE BLVD STE 304, \#173, SLIDELL, LA 70458-2007
- **Mailing address phone:** (504) 490-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2025
- **Last updated:** 10/13/2025