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Organization

EXTENDED HELPING HANDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAVONNE LOUIS (OWNER)
(480) 791-8378
Entity
Organization

Contact information

Practice address
12821 N CAVE CREEK RD STE 101, PHOENIX, AZ 85022-5862
(480) 791-8378
Mailing address
303 E SOUTH MOUNTAIN AVE LOT 76, PHOENIX, AZ 85042-7524

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QA0600X
Adult Day Care Clinic/Center
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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