Organization
EXCELL PRIVATE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA ACQUAYE RN, BSN, MPH, CHCE (CEO/ADMINISTRATOR)
(405) 631-0521
Entity
Organization
Contact information
Practice address
1200 SW 104TH ST, SUITE D, OKLAHOMA CITY, OK 73139-3019
(405) 631-0521
(405) 639-2079
Mailing address
1200 SW 104TH ST, SUITE D, OKLAHOMA CITY, OK 73139-3019
(405) 631-0521
(405) 639-2079
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
7932
OK
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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