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Organization

MY EXTENDED FAMILY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA ANN HAYDEN RN, ED (OWNER, EXECUTIVE DIRECTOR)
(270) 699-0293
Entity
Organization

Contact information

Practice address
106 CEMETERY RD, LEBANON, KY 40033-1827
(270) 699-0293
Mailing address
106 CEMETERY RD, LEBANON, KY 40033-1827
(270) 699-0293

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
05/19/2025
Last updated
05/19/2025
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