Provider Demographics
NPI:1053824474
Name:EXCEL COMPLETE HOME HEALTH & THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:EXCEL COMPLETE HOME HEALTH & THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMAANDAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:936-634-1166
Mailing Address - Street 1:529 GASLIGHT BLVD
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3127
Mailing Address - Country:US
Mailing Address - Phone:936-634-1166
Mailing Address - Fax:936-634-1562
Practice Address - Street 1:529 GASLIGHT BLVD
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3127
Practice Address - Country:US
Practice Address - Phone:936-634-1166
Practice Address - Fax:936-634-1562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health