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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