Organization
EXTENDED FAMILY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARTESIA LAWHORN-KEMP REGISTERED NURSE (CEO)
(318) 268-6641
Entity
Organization
Contact information
Practice address
431 DOGWOOD SOUTH LN, HAUGHTON, LA 71037-8552
(318) 268-6641
(318) 390-2258
Mailing address
431 DOGWOOD SOUTH LN, HAUGHTON, LA 71037-8552
(318) 268-6641
(318) 390-2258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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