Organization
EXTENDED FAMILY ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANA K WRIGHT LPN (ADMINISTRATOR)
(870) 932-7463
Entity
Organization
Contact information
Practice address
2710 PHILLIPS DR, JONESBORO, AR 72401-7332
(870) 932-7463
(870) 932-0478
Mailing address
2710 PHILLIPS DR, JONESBORO, AR 72401-7332
(870) 932-7463
(870) 932-0478
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4224
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101827514
—
AR
01
—
17323
BC/BS PROVIDER NUMBER
AR
Enumeration date
07/28/2005
Last updated
09/27/2016
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