Organization
EXCELL HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER O. TY-DE GUZMAN MSN, FNP (CEO)
(562) 988-3370
Entity
Organization
Contact information
Practice address
4014 LONG BEACH BLVD, SUITE 300, LONG BEACH, CA 90807-5413
(562) 988-3370
(562) 988-3373
Mailing address
4014 LONG BEACH BLVD, LONG BEACH, CA 90807-5413
(562) 988-3370
(562) 988-3373
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08212F
—
CA
Enumeration date
02/24/2006
Last updated
08/22/2020
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