Organization
EXTENDED FAMILY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY LATHAN BATISTE MBA/MA (OWNER)
(225) 923-0203
Entity
Organization
Contact information
Practice address
1970 FLORIDA AVENUE SW, D, DENHAM SPRINGS, LA 70727
(225) 664-0052
(225) 664-0180
Mailing address
1970 FLORIDA AVENUE SW, D, DENHAM SPRINGS, LA 70727
(225) 664-0052
(225) 664-0180
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14040
—
LA
Enumeration date
01/29/2008
Last updated
01/29/2008
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