Organization
EXCELLACARE SKILLED SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GWIZDZ RN BSN MBA (ADMINISTRATOR)
(248) 476-9091
Entity
Organization
Contact information
Practice address
20853 FARMINGTON RD, SUITE 200, FARMINGTON HILLS, MI 48336-5183
(248) 476-9091
Mailing address
20853 FARMINGTON RD, SUITE 200, FARMINGTON HILLS, MI 48336-5183
(248) 476-9091
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
FACILITY # 638801
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15 4087806
—
MI
Enumeration date
07/07/2005
Last updated
10/10/2011
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