EXCELLENT CARE PROVIDER INC NPI 1982085981

NPI Information

EXCELLENT CARE PROVIDER INC is a community based residential treatment facility, intellectual and/or developmental disabilities in San Mateo, CA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EXCELLENT CARE PROVIDER INC NPI is 1982085981. The provider is registered as an organization entity type.
The provider Is Doing Business As Kathryne Manor Icf/dd-h.

The provider's business location address is:

840 KATHRYNE AVE
SAN MATEO, CA
ZIP 94401-125
Phone: (650) 703-3532
Fax: (650) 583-8224

The provider's authorized official is Avelina Q Alfonso .
The authorized official title is Owner/president and has the following contact phone number (650) 255-1072.

The enumeration date for this NPI number is 6/16/2015 and was last updated on 6/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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