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General NPI Number Information
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NPI Number | 1447480751
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Entity Type | Organization
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Legal Business Name | EXCELLENT CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 400 LAKE ST STE 306
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City | ROSELLE
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State | IL
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Zip | 60172-3573
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Country | US
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Telephone | 630-893-9010
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Fax | 630-893-9017
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Provider Business Mailing Address
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Address Line | 400 LAKE ST SUITE 111A
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City | ROSELLE
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State | IL
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Zip | 60172-3573
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Country | US
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Telephone | 630-893-9010
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Fax | 630-893-9017
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Authorized Official
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Title or Position | NURSING DIRECTOR
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Name | MS. SHERRY R HOLMES
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Credential | R.N
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Telephone | 630-893-9010
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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 | 1010965
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License Number State | IL
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