Organization
EXCELLENCE HOME CARE NURSE REGISTRY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIVIAM MATURELL (PRESIDENT)
(239) 710-0150
Entity
Organization
Contact information
Practice address
12995 S CLEVELAND AVE STE 52, FORT MYERS, FL 33907-7752
(239) 710-0150
(239) 790-1328
Mailing address
12995 S CLEVELAND AVE STE 52, FORT MYERS, FL 33907-7752
(239) 710-0150
(239) 790-1328
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
05/11/2022
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