Provider Demographics
NPI:1700398724
Name:EXQUISITE CARE LLC
Entity Type:Organization
Organization Name:EXQUISITE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINNIE
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:LESTER-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:727-220-9720
Mailing Address - Street 1:2261 20TH ST S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-3621
Mailing Address - Country:US
Mailing Address - Phone:727-220-9720
Mailing Address - Fax:
Practice Address - Street 1:2261 20TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-3621
Practice Address - Country:US
Practice Address - Phone:727-453-8974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FL234728253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health