# EXCELLENT HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1205162757
- **Authorized official:** MS. DORIS ELAINE BIVINS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (843) 662-7993

## Contact information

- **Practice address:** 612 STONEYBROOK TER, FLORENCE, SC 29501-8850
- **Practice address phone:** (843) 662-7993
- **Practice address fax:** (843) 662-7995
- **Mailing address:** 181 E EVANS ST, C5, FLORENCE, SC 29506-2511
- **Mailing address phone:** (843) 662-7993
- **Mailing address fax:** (843) 662-7995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | EX0889 | SC | Yes |

## Other

- **Enumeration date:** 10/18/2009
- **Last updated:** 10/18/2009