Organization Name: | EXCEL FAMILY CARE LLC |
NPI Number: | 1184098873 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SRILAKSHMI SUBRAMANIAN (MANAGING MEMBER) |
Mailing Address: | 400 Us Highway 130 East Windsor |
State: | NJ US |
Postal Code: | 085202792 |
Phone Number: | 6093010515 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2015 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 25MA08794200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |