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Organization

EXTENDED FAMILY LIFE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRANCE TAYLOR (OWNER/OPERATOR)
(423) 883-2204
Entity
Organization

Contact information

Practice address
2010 HUFF PLACE, CHATTANOOGA, TN 37404
(469) 394-0445
Mailing address
808 CHESTNUT ST STE 1054, CHATTANOOGA, TN 37402-2510
(469) 394-0445

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
10/07/2025
Last updated
11/04/2025
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