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General NPI Number Information
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NPI Number | 1245511716
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Entity Type | Organization
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Legal Business Name | EXCELCARE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 5622 DELMAR BLVD SUITE 108
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City | SAINT LOUIS
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State | MO
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Zip | 63112-2600
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Country | US
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Telephone | 314-361-7764
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Fax | 314-361-7776
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Provider Business Mailing Address
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Address Line | 4 CROOKHAM CT
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City | FLORISSANT
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State | MO
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Zip | 63033-4801
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Country | US
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Telephone | 314-452-8480
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Fax | 314-361-7776
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. JANETTE HAMILTON
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Credential | RN
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Telephone | 314-361-7764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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