Provider Demographics
NPI:1316667264
Name:ARMSTRONG EXCLUSIVE CARE LLC
Entity type:Organization
Organization Name:ARMSTRONG EXCLUSIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHONTAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:772-333-4606
Mailing Address - Street 1:1457 SW VICUNA LN
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2254
Mailing Address - Country:US
Mailing Address - Phone:772-333-4606
Mailing Address - Fax:
Practice Address - Street 1:732 NE JENSEN BEACH BLVD FL 34957
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4754
Practice Address - Country:US
Practice Address - Phone:772-333-4606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health