Organization
EXTENDED FAMILY HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHELLE DURKIN (OWNER/OPERATING MANAGER)
(330) 720-8390
Entity
Organization
Contact information
Practice address
515 BERKLEE DR, POLAND, OH 44514-3597
(330) 720-8390
Mailing address
515 BERKLEE DR, POLAND, OH 44514-3597
(330) 720-8390
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
UNKNOWN
OH
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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