Provider Demographics
NPI:1952875270
Name:EXCELLENCE QUALITY SERVICES CARE, INC.
Entity Type:Organization
Organization Name:EXCELLENCE QUALITY SERVICES CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YAROBYS
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-817-4129
Mailing Address - Street 1:1680 NE 191ST ST APT 414
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4190
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1680 NE 191ST ST APT 414
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-4190
Practice Address - Country:US
Practice Address - Phone:786-817-4129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care