Extended Family Care Services

Organization Active NPI Clinical Medical Laboratory · Haughton, LA

NPI 1003584319 · NPPES record last updated Sep 1, 2021

Key facts

NPI
1003584319
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
EXTENDED FAMILY CARE SERVICES
Practice address
431 Dogwood South LN
Haughton, LA 71037-8552
Phone
(318) 268-6641
Fax
(318) 390-2258
NPI assigned
Sep 1, 2021
Organization subpart
No

Authorized official

Name
Hartesia Lawhorn-Kemp, REGISTERED NURSE
Title
Ceo
Phone
(318) 268-6641

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163W00000X
Home Health Agency 251E00000X
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

431 Dogwood South LN
Haughton, LA 71037-8552

Mailing address

431 Dogwood South LN
Haughton, LA 71037-8552
Phone (318) 268-6641

Other providers in Haughton, LA

All providers in Haughton, LA · Clinical Medical Laboratory in Louisiana

Sources for this page

Verify at the official NPI Registry.