Organization
EXCELL ADULT DAY CARE CENTER INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIE WARREN-HILL (CEO)
(706) 453-7756
Entity
Organization
Contact information
Practice address
504 MARTIN LUTHER KING JR DR, GREENSBORO, GA 30642-1458
(706) 453-7756
Mailing address
PO BOX 1389, GREENSBORO, GA 30642-1444
(706) 453-7756
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC000048
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003115207B
—
GA
Enumeration date
10/18/2017
Last updated
10/18/2017
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