Organization
EXCELLENCE HOME SUPPORT
Active
Organization
EXCELLENCE HOME SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER STANFIELD (MANAGER)
(786) 303-2544
Entity
Organization
Contact information
Practice address
12855 SW 136TH AVE, SUITE 211, MIAMI, FL 33186-5885
(786) 406-4224
Mailing address
12855 SW 136TH AVE, SUITE 211, MIAMI, FL 33186-5885
(786) 406-4224
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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