institution
Excellent Care Provider Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in San Mateo, California
NPI 1982085981

Excellent Care Provider Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in San Mateo, CA. Excellent Care Provider Inc practices in San Mateo, CA. The NPI Number for Excellent Care Provider Inc is 1982085981 and holds a License No. 220000364 (California).

The current practice location address for Excellent Care Provider Inc is 840 Kathryne Ave, San Mateo, CA and can be reached out via phone at 650-703-3532 and via fax at 650-583-8224.

Location: 840 Kathryne Ave, San Mateo, CA, 94401-3125
institution
Provider Profile Details
NPI Number
1982085981
Provider Name
Excellent Care Provider Inc
Credential
Provider Entity Type
Organization
Address
840 Kathryne Ave, San Mateo, CA, 94401-3125
Phone Number
650-703-3532
Fax Number
650-583-8224
Provider Enumeration Date
06/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
840 Kathryne Ave
City
State
Zip
94401-3125
Phone Number
650-703-3532
Fax Number
650-583-8224
person
Provider Business Mailing Address Details
Address
840 Kathryne Ave
City
State
Zip
94401-3125
Phone Number
650-703-3532
Fax Number
650-583-8224
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
220000364 (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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