Organization
EXCELLENT LIFE HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACHELLE DENISE WILLIAMS LPN (OWNER)
(678) 794-2637
Entity
Organization
Contact information
Practice address
5539 LAUREL HALL DR, INDIANAPOLIS, IN 46226-2302
(317) 812-7797
Mailing address
260 RIDGE POINTE DR, COVINGTON, GA 30016-4744
(678) 794-2673
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/17/2024
Last updated
04/08/2025
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