Provider Demographics
NPI:1700513363
Name:G&W EXCELLENT HOME CARE SERVICES CORP
Entity Type:Organization
Organization Name:G&W EXCELLENT HOME CARE SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:WILKINSCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN PHILIPPE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:754-235-3193
Mailing Address - Street 1:1645 PALM BEACH LAKES BLVD STE 1200
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2214
Mailing Address - Country:US
Mailing Address - Phone:561-600-1537
Mailing Address - Fax:561-600-1532
Practice Address - Street 1:1645 PALM BEACH LAKES BLVD STE 1200
Practice Address - Street 2:
Practice Address - City:WEST PALM BCH
Practice Address - State:FL
Practice Address - Zip Code:33401-2214
Practice Address - Country:US
Practice Address - Phone:561-600-1537
Practice Address - Fax:561-600-1532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care