Provider Demographics
NPI:1629303862
Name:EXQUISITE HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:EXQUISITE HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:OBIAGELI
Authorized Official - Last Name:NEBO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-870-4208
Mailing Address - Street 1:19546 OTTER TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4552
Mailing Address - Country:US
Mailing Address - Phone:713-870-4208
Mailing Address - Fax:281-550-2294
Practice Address - Street 1:19546 OTTER TRAIL COURT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449
Practice Address - Country:US
Practice Address - Phone:713-870-4208
Practice Address - Fax:281-550-2294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012562251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health