Organization
EXCELLENT SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOLLIE KABBAH (CHIEF EXECUTIVE OFFICER (CEO))
(267) 259-8962
Entity
Organization
Contact information
Practice address
1801 S 58TH ST STE 1, PHILADELPHIA, PA 19143-5501
(267) 259-8962
Mailing address
1801 S 58TH ST STE 1, PHILADELPHIA, PA 19143-5501
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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