Organization
EXCELLENCE HOME HEALTH PROVIDER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBBIE SUSANNE MANALO L.V.N. (ADMINISTRATOR)
(714) 571-5551
Entity
Organization
Contact information
Practice address
4050 KATELLA AVE STE 204, LOS ALAMITOS, CA 90720-3477
(714) 571-5551
(714) 571-5531
Mailing address
4050 KATELLA AVE STE 204, LOS ALAMITOS, CA 90720-3477
(714) 571-5551
(714) 571-5531
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
11/07/2017
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