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NPI Code Detail

MEDICARE: EXCEL HOME CARE AGENCY

MEDICARE: EXCEL HOME CARE AGENCY
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
1253J00000XFoster Care Agency

General Provider Information

NPI Number : 1699002105
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCEL HOME CARE AGENCY
Provider Business Mailing Address
First Line : 1116 TROPIC WIND AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2985
Country : US
Telephone Number : 702-743-7722
Fax Number : 702-642-5722
Provider Business Practice Location Address
First Line : 1116 TROPIC WIND AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2985
Country : US
Telephone Number : 702-743-7722
Fax Number : 702-642-5722
Authorized Official
Title or Position : PROJECT MANAGER
Name : MRS. PAMELA G POWELL
Credential :
Telephone Number : 702-743-7722
Provider Enumeration Date : 11/05/2009
Last Update Date : 11/05/2009

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Directions to “EXCEL HOME CARE AGENCY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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