Provider Demographics
NPI:1801471156
Name:EXCELLENCE IN TOTAL CARE LLC
Entity type:Organization
Organization Name:EXCELLENCE IN TOTAL CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:985-263-1216
Mailing Address - Street 1:PO BOX 2985
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70392-2985
Mailing Address - Country:US
Mailing Address - Phone:985-263-1216
Mailing Address - Fax:985-263-1217
Practice Address - Street 1:1016 MAIN STREET
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:LA
Practice Address - Zip Code:70392
Practice Address - Country:US
Practice Address - Phone:985-263-1216
Practice Address - Fax:985-263-1217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty