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Organization

EXTENDED ARMS RESPITE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UCHENNA GREEN (OWNER/CEO)
(504) 908-1511
Entity
Organization

Contact information

Practice address
251 ASHTON PARC, SLIDELL, LA 70458-7321
(504) 490-4055
Mailing address
636 GAUSE BLVD STE 304, #173, SLIDELL, LA 70458-2007
(504) 490-4055

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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