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Organization
EXTENDED FAMILY HEALTH SERVICE LLC
Active
Organization
EXTENDED FAMILY HEALTH SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA GORDON (CEO)
(203) 512-6268
Entity
Organization
Contact information
Practice address
217 JEWETT AVE, BRIDGEPORT, CT 06606-2826
(203) 512-6269
Mailing address
217 JEWETT AVE, BRIDGEPORT, CT 06606-2826
(203) 512-6269
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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