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NPI Code Detail

MEDICARE: EXCEL DEVELOPMENT CO., INC.

MEDICARE: EXCEL DEVELOPMENT CO., INC.
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
1177F00000XLodging Provider

General Provider Information

NPI Number : 1598754251
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCEL DEVELOPMENT CO., INC.
Provider Business Mailing Address
First Line : 2403 AUBURN AVE.
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2701
Country : US
Telephone Number : 513-632-7149
Fax Number : 513-632-7171
Provider Business Practice Location Address
First Line : 2403 AUBURN AVE.
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2701
Country : US
Telephone Number : 513-632-7149
Fax Number : 513-632-7171
Authorized Official
Title or Position : GENERAL MANAGER
Name : MR. JACKIE RAY ROBINSON
Credential :
Telephone Number : 513-632-7149
Provider Enumeration Date : 10/17/2005
Last Update Date : 08/22/2020

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Directions to “EXCEL DEVELOPMENT CO., INC. ” Practice Location

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