Organization
EXCELSIOR COACHING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFFRED W LOUIS (PRESIDENT)
(863) 618-8839
Entity
Organization
Contact information
Practice address
942 BELVOIR DR, DAVENPORT, FL 33837-8227
(863) 618-8839
(863) 594-1375
Mailing address
942 BELVOIR DR, DAVENPORT, FL 33837-8227
(863) 618-8839
(863) 594-1375
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6935711 98
—
FL
Enumeration date
04/28/2008
Last updated
04/28/2008
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