Provider Demographics
NPI:1891023040
Name:LANCASTER EXCELLENT CARE INC
Entity Type:Organization
Organization Name:LANCASTER EXCELLENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:DRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-612-8364
Mailing Address - Street 1:PO BOX 37635
Mailing Address - Street 2:# 51164
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101-0635
Mailing Address - Country:US
Mailing Address - Phone:484-612-8364
Mailing Address - Fax:
Practice Address - Street 1:215 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:FRAZER
Practice Address - State:PA
Practice Address - Zip Code:19355-1874
Practice Address - Country:US
Practice Address - Phone:484-612-8364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty