Organization
EXTENDED FAMILY SERVICES, LLC
Active
Organization
EXTENDED FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE MONIQUE GAINES (OWNER)
(757) 582-8886
Entity
Organization
Contact information
Practice address
2151 S MILITARY HWY STE 6, CHESAPEAKE, VA 23320-4426
(757) 582-8886
Mailing address
609 MUSCADINE DR, CHESAPEAKE, VA 23323-3142
(757) 582-8886
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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