Organization
EXCELLENCE HOMECARE SUPPRT SERVICES , LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA K WOODARD LPN, BA (CEO)
(267) 536-8416
Entity
Organization
Contact information
Practice address
108 N HIGHLAND AVE, SUITE 2, LANSDOWNE, PA 19050-2015
(267) 536-8416
Mailing address
PO BOX 1274, LANSDOWNE, PA 19050-8274
(267) 536-8416
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/20/2015
Last updated
06/20/2015
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