Healthcare Provider Details

I. General information

NPI: 1871250340
Provider Name (Legal Business Name): EXQUISITE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 11/19/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 6TH ST
VERONA PA
15147-2506
US

IV. Provider business mailing address

730 6TH ST MAIN
VERONA PA
15147-2506
US

V. Phone/Fax

Practice location:
  • Phone: 724-405-7736
  • Fax:
Mailing address:
  • Phone: 412-654-5412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY TURNER
Title or Position: CEO
Credential:
Phone: 412-654-5412