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NPI Code Detail

MEDICARE: EXCELL HEALTH STAFF

MEDICARE: EXCELL HEALTH STAFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1447433883
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCELL HEALTH STAFF
Provider Business Mailing Address
First Line : 18915 W 12 MILE RD
Second Line :
City : LATHRUP VILLAGE
State : MI
Zip : 48076-2575
Country : US
Telephone Number : 248-416-1100
Fax Number : 248-416-1102
Provider Business Practice Location Address
First Line : 18915 W 12 MILE RD
Second Line :
City : LATHRUP VILLAGE
State : MI
Zip : 48076-2575
Country : US
Telephone Number : 248-416-1100
Fax Number : 248-416-1102
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL BRANN
Credential :
Telephone Number : 248-416-1100
Provider Enumeration Date : 12/07/2007
Last Update Date : 12/07/2007

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Directions to “EXCELL HEALTH STAFF ” Practice Location

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