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Organization

LADY OF EXCELLENCE LLC

Active
Other names
Of Excellence Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
SHARMAIN BURCH (EXECUTIVE)
(254) 383-8718
Entity
Organization

Contact information

Practice address
82 SAINT MARKS PL APT 3I, STATEN ISLAND, NY 10301-1646
(254) 383-8718
Mailing address
5525 STUBBEN CT, COLUMBUS, GA 31909-1871
(254) 383-8718

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/08/2025
Last updated
02/08/2025
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