Organization
EXCELLENCE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINTORIA WOODS (VICE PRESIDENT)
(864) 399-9896
Entity
Organization
Contact information
Practice address
117 FAIRVIEW POINTE DR, SIMPSONVILLE, SC 29681-3223
(864) 399-9896
(864) 399-9896
Mailing address
324 BELLONA LN, SIMPSONVILLE, SC 29681-6210
(864) 399-9896
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0711
SC
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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