Provider Demographics
NPI:1780362723
Name:D'EXCELLENT HOME CARE LLC
Entity type:Organization
Organization Name:D'EXCELLENT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DOO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EXCEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SULOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-546-6909
Mailing Address - Street 1:230 NORTHLAND BLVD STE 217
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3600
Mailing Address - Country:US
Mailing Address - Phone:513-546-6909
Mailing Address - Fax:
Practice Address - Street 1:230 NORTHLAND BLVD STE 217
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3600
Practice Address - Country:US
Practice Address - Phone:513-546-6909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251E00000XAgenciesHome Health