- Enrollment id
- O20100318000603
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1669617288
- Multiple npi flag
- N
- Ccn
- 747494
- Associate id
- 8426183229
- Organization name
- EXCELLENT HEALTHCARE SERVICES,INC
- Doing business as name
- EXCELLENT HOME HEALTH SERVICES
- Incorporation date
- 2008-07-18
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1144-H WEST PIONEET PARKWAY
- City
- ARLINGTON
- State
- TX
- Zip code
- 760136384