Healthcare Provider Details

I. General information

NPI: 1811552201
Provider Name (Legal Business Name): XCITE HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3983 WOODRIDGE BLVD APT 9
FAIRFIELD OH
45014-8507
US

IV. Provider business mailing address

3983 WOODRIDGE BLVD APT 9
FAIRFIELD OH
45014-8507
US

V. Phone/Fax

Practice location:
  • Phone: 513-223-5348
  • Fax:
Mailing address:
  • Phone: 513-223-5348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ELIJAH OPPONG
Title or Position: ADMINISTRATOR
Credential:
Phone: 513-525-9016