Care Excellence Llc | |
3622 Belmont Ave Ste 20 Youngstown OH 44505-1444 | |
(740) 381-3616 | |
Not Available |
Full Name | Care Excellence Llc |
---|---|
Speciality | Family Medicine |
Location | 3622 Belmont Ave Ste 20, Youngstown, Ohio |
Authorized Official Name and Position | Carletta C Williams (OWNER) |
Authorized Official Contact | 7403813616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Care Excellence Llc 448 Westwood Dr Steubenville OH 43953-3647 Ph: (740) 381-3616 | Care Excellence Llc 3622 Belmont Ave Ste 20 Youngstown OH 44505-1444 Ph: (740) 381-3616 |
NPI Number | 1952950453 |
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Provider Enumeration Date | 09/06/2019 |
Last Update Date | 09/06/2019 |
Medicare PECOS PAC ID | 2961835962 |
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Medicare Enrollment ID | O20191205001132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952950453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Carletta Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396080313 PECOS PAC ID: 8628217346 Enrollment ID: I20150326001560 |
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