Organization
EXTENDED FAMILY HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW PAUL (OWNER/PRESIDENT)
(303) 726-5052
Entity
Organization
Contact information
Practice address
8753 YATES DR STE 200-16, WESTMINSTER, CO 80031-6947
(303) 726-5052
Mailing address
6675 S LEMAY AVE APT A12, FORT COLLINS, CO 80525-9440
(303) 726-5052
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/27/2024
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