# EXCLUSIVE HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1891018347
- **Authorized official:** FRED ALAN AVILA (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (805) 528-8974

## Contact information

- **Practice address:** 203 E BENNETT ST, NIPOMO, CA 93444-9435
- **Practice address phone:** (805) 440-5298
- **Mailing address:** 1653 11TH STREET, LOS OSOS, CA 93402-2236
- **Mailing address phone:** (805) 528-8907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 0729368 | CA | Yes |

## Other

- **Enumeration date:** 03/11/2010
- **Last updated:** 03/11/2010