Provider Demographics
NPI:1144648791
Name:EXCEL CARE CHRISTIAN PERSONAL CARE SERVICES
Entity type:Organization
Organization Name:EXCEL CARE CHRISTIAN PERSONAL CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:L
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN
Authorized Official - Phone:606-747-0704
Mailing Address - Street 1:182 LOCUST CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FOSTER
Mailing Address - State:KY
Mailing Address - Zip Code:41043-9455
Mailing Address - Country:US
Mailing Address - Phone:606-747-0704
Mailing Address - Fax:
Practice Address - Street 1:203B PARK STREET
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:KY
Practice Address - Zip Code:41002
Practice Address - Country:US
Practice Address - Phone:606-402-1816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health