Provider Demographics
NPI:1043524697
Name:EXCELLENCE HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:EXCELLENCE HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGALONG-COZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-963-9235
Mailing Address - Street 1:3900 WOODLAKE BLVD
Mailing Address - Street 2:SUITE 200 - 18
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3044
Mailing Address - Country:US
Mailing Address - Phone:561-963-9235
Mailing Address - Fax:561-963-9202
Practice Address - Street 1:3900 WOODLAKE BLVD
Practice Address - Street 2:SUITE 200 - 18
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3044
Practice Address - Country:US
Practice Address - Phone:561-963-9235
Practice Address - Fax:561-963-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health