Organization
EXTENDED FAMILY HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY CAROL GEE RN, BSN (VICE-PRESIDENT)
(573) 359-2930
Entity
Organization
Contact information
Practice address
105 RUSSELL ST, HAYTI, MO 63851-1300
(573) 359-2930
(573) 359-0910
Mailing address
105 RUSSELL ST, PO BOX 544, HAYTI, MO 63851-1300
(573) 359-2930
(573) 359-0910
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
606-8
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
334519
HEALTHLINK PROVIDER NUMBE
—
Enumeration date
11/14/2005
Last updated
08/22/2020
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