Organization
EXCEL PERSONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARI L PRYOR (MANAGER)
(765) 482-6680
Entity
Organization
Contact information
Practice address
1102 S LEBANON ST, LEBANON, IN 46052-2717
(765) 482-6680
(765) 482-6690
Mailing address
1102 S LEBANON ST, LEBANON, IN 46052-2717
(765) 482-6680
(765) 482-6690
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
13-013219-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-013219-1
STATE LICENSURE
IN
Enumeration date
05/15/2013
Last updated
05/15/2013
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