# EXCELSIOR HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1861944670
- **Authorized official:** MICHAEL Q BOYD (DIRECTOR)
- **Authorized official phone:** (314) 749-2535

## Contact information

- **Practice address:** 2611 N 14TH ST, SAINT LOUIS, MO 63106-3914
- **Practice address phone:** (314) 899-9950
- **Practice address fax:** (314) 899-9949
- **Mailing address:** 2611 N 14TH ST, SAINT LOUIS, MO 63106-3914
- **Mailing address phone:** (314) 899-9950
- **Mailing address fax:** (314) 899-9949

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016