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Organization

EXCLUSIVE HOME CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FREDERICK ALAN AVILA (DIRECTOR OF OPERATIONS)
(805) 806-0095
Entity
Organization

Contact information

Practice address
204 MOORE LN, ARROYO GRANDE, CA 93420-5039
(805) 806-0095
(805) 489-1399
Mailing address
204 MOORE LN, ARROYO GRANDE, CA 93420-5039
(805) 806-0095
(805) 489-1399

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
623990
CA

Other

Enumeration date
02/25/2012
Last updated
02/25/2012
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