# EXCELL PRIVATE CARE SERVICES

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

## Provider details

- **NPI number:** 1154650018
- **Authorized official:** MINA ACQUAYE RN, BSN, MPH, CHCE (CEO/ADMINISTRATOR)
- **Authorized official phone:** (405) 631-0521

## Contact information

- **Practice address:** 1200 SW 104TH ST, SUITE D, OKLAHOMA CITY, OK 73139-3019
- **Practice address phone:** (405) 631-0521
- **Practice address fax:** (405) 639-2079
- **Mailing address:** 1200 SW 104TH ST, SUITE D, OKLAHOMA CITY, OK 73139-3019
- **Mailing address phone:** (405) 631-0521
- **Mailing address fax:** (405) 639-2079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 7932 | OK | Yes |

## Other

- **Enumeration date:** 12/23/2009
- **Last updated:** 12/23/2009