Organization
EXELLE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESMOND THORPE (ADMINISTRATOR)
(678) 670-7569
Entity
Organization
Contact information
Practice address
105 SILVERTHORN DRIVE, TYRONE, GA 30290
(678) 670-7569
(770) 703-7862
Mailing address
P.O. BOX 394, TYRONE, GA 30290
(678) 670-7569
(770) 703-7862
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
060R0163
GA
251J00000X
Nursing Care Agency
Primary
060R0163
GA
Other
Enumeration date
10/21/2009
Last updated
05/25/2016
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