Organization
EXCELLENT SUPPORT CARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY REDDICK (PRESIDENT)
(917) 995-3112
Entity
Organization
Contact information
Practice address
909 VAN NORDEN ST, WASHINGTON, NC 27889-4346
(862) 309-9533
Mailing address
909 VAN NORDEN ST, WASHINGTON, NC 27889-4346
(862) 309-9533
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811494107
—
NC
Enumeration date
04/12/2018
Last updated
07/13/2021
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