Excellent Care Provider INC
NPI #1982085981 in San Mateo, California
Provider Information
- NPI Number
- 1982085981
- Entity Type
- Organization
- Organization Name
- Excellent Care Provider INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 16, 2015
- Last Updated
- Jun 16, 2015
Practice Location
- Address
- 840 KATHRYNE AVE
- City
- San Mateo
- State
- California
- ZIP Code
- 94401-3125
- Phone
- (650) 703-3532
Authorized Official
- Name
- AVELINA Q ALFONSO
- Title
- OWNER/PRESIDENT
- Phone
- (650) 255-1072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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