Excellent Care Residential Services LLC

NPI #1730703521 in Springfield, Virginia

Provider Information

NPI Number
1730703521
Entity Type
Organization
Organization Name
Excellent Care Residential Services LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jun 8, 2020
Last Updated
Nov 8, 2021

Practice Location

Address
6400 RIVINGTON RD
ZIP Code
22152-2912
Phone
(571) 201-5841

Authorized Official

Name
PAMELA NKUROKO AMBE
Title
DIRECTOR
Phone
(571) 201-5841

Specialties & Taxonomy Codes

Specialty
Case Management
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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