Organization
EXTENDED FAMILY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY BATISTE (DIRECTOR)
(225) 923-0203
Entity
Organization
Contact information
Practice address
9441 COMMON ST, SUITE B, BATON ROUGE, LA 70809-1463
(225) 923-0203
(225) 923-0207
Mailing address
9441 COMMON ST, SUITE B, BATON ROUGE, LA 70809-1463
(225) 923-0203
(225) 923-0207
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454281
—
LA
Enumeration date
05/24/2007
Last updated
08/22/2020
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