# EXTENDED LIVING LLC

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

## Provider details

- **NPI number:** 1831987585
- **Authorized official:** AMANDA RODGERS (OWNER/OPERATOR)
- **Authorized official phone:** (414) 813-4607

## Contact information

- **Practice address:** 7718 W CASPER ST, MILWAUKEE, WI 53223-5630
- **Practice address phone:** (414) 391-7464
- **Mailing address:** 7718 W CASPER ST, MILWAUKEE, WI 53223-5630
- **Mailing address phone:** (414) 391-7464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2025
- **Last updated:** 04/30/2025