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Organization
EXCELSIOR HEALTHCARE LLC
Active
Organization
EXCELSIOR HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL Q BOYD (DIRECTOR)
(314) 749-2535
Entity
Organization
Contact information
Practice address
2611 N 14TH ST, SAINT LOUIS, MO 63106-3914
(314) 899-9950
(314) 899-9949
Mailing address
2611 N 14TH ST, SAINT LOUIS, MO 63106-3914
(314) 899-9950
(314) 899-9949
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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