Healthcare Provider Details

I. General information

NPI: 1275338071
Provider Name (Legal Business Name): EXCELLENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 BRIDGTON RD STE E
WESTBROOK ME
04092-3728
US

IV. Provider business mailing address

625 BRIDGTON RD STE E
WESTBROOK ME
04092-3728
US

V. Phone/Fax

Practice location:
  • Phone: 207-200-5567
  • Fax:
Mailing address:
  • Phone: 207-200-5567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SALAH C MUHSIN
Title or Position: ONER
Credential:
Phone: 423-313-7516