# EXCELLENCE HOME HEALTH PROVIDER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114161445
- **Authorized official:** RUBBIE SUSANNE MANALO L.V.N. (ADMINISTRATOR)
- **Authorized official phone:** (714) 571-5551

## Contact information

- **Practice address:** 4050 KATELLA AVE STE 204, LOS ALAMITOS, CA 90720-3477
- **Practice address phone:** (714) 571-5551
- **Practice address fax:** (714) 571-5531
- **Mailing address:** 4050 KATELLA AVE STE 204, LOS ALAMITOS, CA 90720-3477
- **Mailing address phone:** (714) 571-5551
- **Mailing address fax:** (714) 571-5531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2009
- **Last updated:** 11/07/2017