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Organization

EXCELLENT HOME CARE, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY MORALES FREY RCFE LICENSE (ADMINISTRATOR)
(661) 949-3740
Entity
Organization

Contact information

Practice address
44148 12TH ST W, LANCASTER, CA 93534-4242
(661) 992-5131
(661) 949-3740
Mailing address
44148 12TH ST W, LANCASTER, CA 93534-4242
(661) 992-5131
(661) 940-9067

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197607154
CA

Other

Enumeration date
09/02/2011
Last updated
09/02/2011
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