Organization
MY EXTENDED FAMILY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONIA BAPTISTE (OWNER/CEO)
(239) 784-0132
Entity
Organization
Contact information
Practice address
4766 GOLDEN GATE PKWY STE 4, NAPLES, FL 34116-6935
(239) 285-3990
(239) 449-8469
Mailing address
5426 TEXAS AVE, NAPLES, FL 34113-7859
(239) 784-0132
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/04/2020
Last updated
03/10/2022
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