| Excelsior Private Home Care Llc | |
|
270 Trelawney Dr Covington GA 30016-6819 | |
| (770) 385-8194 | |
| Not Available |
| Full Name | Excelsior Private Home Care Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 270 Trelawney Dr, Covington, Georgia |
| Authorized Official Name and Position | Lilieth Verinica Perry (ADMINISTRATOR) |
| Authorized Official Contact | 7706558360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Private Home Care Llc 270 Trelawney Dr Covington GA 30016-6819 Ph: (770) 385-8194 | Excelsior Private Home Care Llc 270 Trelawney Dr Covington GA 30016-6819 Ph: (770) 385-8194 |
| NPI Number | 1619315694 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619315694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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