# EXCELSIOR COACHING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104091420
- **Authorized official:** EFFRED W LOUIS (PRESIDENT)
- **Authorized official phone:** (863) 618-8839

## Contact information

- **Practice address:** 942 BELVOIR DR, DAVENPORT, FL 33837-8227
- **Practice address phone:** (863) 618-8839
- **Practice address fax:** (863) 594-1375
- **Mailing address:** 942 BELVOIR DR, DAVENPORT, FL 33837-8227
- **Mailing address phone:** (863) 618-8839
- **Mailing address fax:** (863) 594-1375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 04/28/2008