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General NPI Number Information
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NPI Number | 1427716505
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Entity Type | Organization
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Legal Business Name | EXCELLENT COMPANION CARE
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 352 CONCH KEY WAY
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City | SANFORD
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State | FL
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Zip | 32771-5217
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Country | US
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Telephone | 407-302-4606
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Fax | 407-302-9899
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Provider Business Mailing Address
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Address Line | 401 E 1ST ST UNIT 2939
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City | SANFORD
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State | FL
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Zip | 32772-7620
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Country | US
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Telephone | 407-302-4606
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Fax | 407-302-9899
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Authorized Official
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Title or Position | CEO
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Name | MRS. LILLIAN M RAMOS
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Credential |
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Telephone | 407-302-4606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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