# EXCELLENCE COMMUNITY REHABILITATION PROGRAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Excellence Community Residential Properties, ECRP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184342099
- **Authorized official:** MISS OCTAVIA ASKEW PH.D (PROGRAM DIRECTOR/ADMINISTRATOR)
- **Authorized official phone:** (424) 789-0439

## Contact information

- **Practice address:** 37025 LA CONTEMPO AVE, PALMDALE, CA 93550-7351
- **Practice address phone:** (424) 789-0439
- **Mailing address:** 1607 E PALMDALE BLVD STE G, PALMDALE, CA 93550-7801
- **Mailing address phone:** (424) 789-0439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2022
- **Last updated:** 02/22/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 197610283 | ADULT RESIDENTIAL FACILITY LICENSE | CA |