Organization
EXCEL HOME HEALTHCARE AGENCY & DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOMODOU JAITEH (OWNER)
(919) 601-6723
Entity
Organization
Contact information
Practice address
1100 LOGGER CT STE D100, RALEIGH, NC 27609
(919) 800-0221
(919) 800-0221
Mailing address
1100 LOGGER CT STE D100, RALEIGH, NC 27609-8509
(919) 800-0221
(919) 800-0221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC4250
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
136624
NC
Other
Enumeration date
10/14/2010
Last updated
09/11/2019
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