Organization
EXTENDED FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRLENE JEANNITE MS (OWNER)
(954) 261-3043
Entity
Organization
Contact information
Practice address
1616 N FL MANGO RD STE 1C, WEST PALM BEACH, FL 33409-5289
(954) 261-3043
Mailing address
1616 N FL MANGO RD STE 1C, WEST PALM BEACH, FL 33409-5289
(954) 261-3043
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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