- Enrollment id
- O20211013000363
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1568973865
- Multiple npi flag
- N
- Ccn
- 297310
- Associate id
- 1456687821
- Organization name
- EXCELLENT TOUCH HOME HEALTH LLC
- Incorporation date
- 2017-09-13
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2675 S JONES BLVD
- Address line 2
- STE 109
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891465607