Excelcare By Divinee Llc
Legal Business Name
Excelcare By Divinee Llc
NPI Number
1124443924
NPI Type
Organization
Enumeration Date
03/03/2014
Specialties
(Taxonomies)Name
Code
251B00000X
291U00000X
251S00000X
251E00000X
163WH0200X
251F00000X
164W00000X
251J00000X
3140N1450X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Licenses
State
Georgia
License Number
110-R-0953
Contact
Information
Purpose
Mailing
Location
Address
284 SOMERSBY DR
284 SOMERSBY DR
City
Dallas
Dallas
State
GA
GA
Postal Code
30157-8086
30157-8086
Country
US
US
Telephone Number
(770) 443-2273
(770) 443-2273
Authorized Official
Name
Miss Diane Brown
Title or Position
PRESIDENT
Telephone Number
(770) 443-2273
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/11/2021