Organization
SAND LILY HEALTHCARE, INC.
Active
Other names
Excell Private Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
2120 S BROADWAY, EDMOND, OK 73013-4021
(405) 639-3939
(405) 639-2079
Mailing address
2120 S BROADWAY, EDMOND, OK 73013-4021
(405) 639-3939
(405) 639-2079
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/26/2017
Last updated
03/18/2026
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