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Organization
EXCLUSIVE HOME CARE SERVICES
Active
Organization
EXCLUSIVE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED ALAN AVILA (DIRECTOR OF OPERATIONS)
(805) 528-8974
Entity
Organization
Contact information
Practice address
203 E BENNETT ST, NIPOMO, CA 93444-9435
(805) 440-5298
Mailing address
1653 11TH STREET, LOS OSOS, CA 93402-2236
(805) 528-8907
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0729368
CA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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