Organization
EXCELSIOR OMEGA INC.
Active
Parent organization
EXCELSIOR OMEGA INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELSIOR OMEGA INC.
Authorized official
JACQUELINE DORELIEN (MANAGER)
(941) 807-9657
Entity
Organization
Contact information
Practice address
3548 SEA VIEW ST, SARASOTA, FL 34239-3417
(941) 807-9657
(941) 282-7673
Mailing address
15 DADE AVE, SARASOTA, FL 34232-1608
(941) 371-4091
(941) 282-7673
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
10/23/2025
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