Organization · Type 2 NPI
Extended Family Alr Inc
Physical Disabilities Residential Treatment Facility · New Smyrna Beach, FL
NPI number
1356764823
Active
Practice location
1020 Claudia St
New Smyrna Beach, FL 32168-6354
Fax (386) 957-6316
Mailing address
2505 W Lake Dr
Deland, FL 32724-3245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | AL12247 (FL) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1356764823
Extended Family Alr Inc's National Provider Identifier is 1356764823, issued on Feb 3, 2014. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in New Smyrna Beach, FL. The record was last updated on Feb 3, 2014.