MEDICARE: WORLD EXCELLENT HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1386848489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLD EXCELLENT HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	2246 S HAMILTON RD
Second Line	:	SUITE 105
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4317
Country	:	US
Telephone Number	:	614-309-7430
Fax Number	:	614-755-4645

Provider Business Practice Location Address
First Line	:	2246 S HAMILTON RD
Second Line	:	SUITE 105
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4317
Country	:	US
Telephone Number	:	614-309-7430
Fax Number	:	614-755-4645

Authorized Official
Title or Position	:	MSA-CEO
Name	:	ANGELA STREET
Credential	:
Telephone Number	:	614-309-7430

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	01/22/2008

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