Organization
EXCELSIOR HEALTHCARE II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL Q BOYD (CEO)
(314) 267-4004
Entity
Organization
Contact information
Practice address
4841 LEXINGTON AVE, SAINT LOUIS, MO 63115-2013
(314) 267-4004
(314) 899-9949
Mailing address
4841 LEXINGTON AVE, SAINT LOUIS, MO 63115-2013
(314) 267-4004
(314) 899-9949
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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