Organization Name: | EXCELCARE HEALTH SERVICES |
NPI Number: | 1124223284 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELLA FRANCIS (CHIEF NURSING OFFICER) |
Mailing Address: | 3200 Shakerag Hl Suite B Peachtree City |
State: | GA US |
Postal Code: | 302696511 |
Phone Number: | 6789020200 |
Fax Number: | 6789020201 |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN179142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |