NPI 1124443924

Excelcare By Divinee LLC

Organisation In Home Supportive Care Agency Dallas, GA

Practice location

Address: 284 Somersby Dr, Dallas, GA 30157-8086
Phone: (770) 443-2273
Fax: (888) 883-4103

Authorised official

Name: Diane Rose Brown
Title: President
Phone: (770) 443-2273

Registered specialties (10)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

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Home Health Registered Nurse

Nursing Service Providers Taxonomy 163WH0200X

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Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Home Infusion Agency

Agencies Taxonomy 251F00000X

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Nursing Care Agency

Agencies Taxonomy 251J00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 110-R-0953 (GA)

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Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X

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Pediatric Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 3140N1450X Licence 110-R-0953 (GA)

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Registry record

NPI: 1124443924
Entity type: Organization
NPI issued: 3 Mar 2014
Record last updated: 11 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.