Organization
OUR EXTENDED FAMILY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SMITH (OWNER)
(317) 340-3667
Entity
Organization
Contact information
Practice address
975 ARROYO RD, GREENWOOD, IN 46143-2649
(765) 346-7093
Mailing address
6825 BALMORAL RD, INDIANAPOLIS, IN 46241-1746
(317) 340-3667
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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