Organization
EXTENDED HELPING HANDS LLC
Active
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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