# EXCELLENT HOME HEALTH CARE 11 INC

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

## Provider details

- **NPI number:** 1245475011
- **Authorized official:** MISS WILDA DIAZ (PRESIDENT)
- **Authorized official phone:** (973) 742-3828

## Contact information

- **Practice address:** 6811 BERGENLINE AVE, GUTTENGBERG, NJ 07093-1807
- **Practice address phone:** (201) 861-8500
- **Practice address fax:** (201) 861-8900
- **Mailing address:** 6811 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1807
- **Mailing address phone:** (201) 861-8500
- **Mailing address fax:** (201) 861-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HP0047201 | NJ | Yes |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 12/10/2008