Provider Demographics
NPI:1104931518
Name:EXCELLENCE CARE REHAB&NURSING SERVICES INC
Entity type:Organization
Organization Name:EXCELLENCE CARE REHAB&NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:OGECHI
Authorized Official - Last Name:OKEH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:240-461-7435
Mailing Address - Street 1:39 SCARLET SAGE CT
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1158
Mailing Address - Country:US
Mailing Address - Phone:240-461-7435
Mailing Address - Fax:301-549-1662
Practice Address - Street 1:39 SCARLET SAGE CT
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1158
Practice Address - Country:US
Practice Address - Phone:240-461-7435
Practice Address - Fax:301-549-1662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05029225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG02124Medicare ID - Type Unspecified