Organization
EXTENDED FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE PAYTON (PRESIDENT)
(443) 261-8493
Entity
Organization
Contact information
Practice address
721 DOLPHIN ST, BALTIMORE, MD 21217-2932
(443) 261-8493
Mailing address
716 DELMAR AVE, GLEN BURNIE, MD 21061-3954
(443) 261-8493
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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