Provider Demographics
NPI:1881866010
Name:EXCELLENT HOME CARE GIVERS OF BROWARD, CORP
Entity Type:Organization
Organization Name:EXCELLENT HOME CARE GIVERS OF BROWARD, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-652-0498
Mailing Address - Street 1:2108 TYLER ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6717
Mailing Address - Country:US
Mailing Address - Phone:954-668-2421
Mailing Address - Fax:954-992-1200
Practice Address - Street 1:2108 TYLER ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6717
Practice Address - Country:US
Practice Address - Phone:954-668-2421
Practice Address - Fax:954-992-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992983251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health