Organization

Excelcare By Divinee Llc

Legal Business Name

Excelcare By Divinee Llc

NPI Number

1124443924

NPI Type

Organization

Enumeration Date

03/03/2014

Specialties

(Taxonomies)

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

Provider Address