NPI 1003413311
Excelsior Services Group LLC
Practice location
- Address
- 415 Main Ave, Wood Ridge, NJ 07075-2055
- Phone
- (917) 463-6166
Authorised official
- Name
- Monica Elkeshk
- Title
- Executive Director
- Phone
- (917) 463-6166
Registered specialties (3)
Nursing Care Agency
Primary
Community/Behavioral Health Agency
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Registry record
- NPI
- 1003413311
- Entity type
- Organization
- NPI issued
- 8 Oct 2020
- Record last updated
- 1 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.