NPI 1982085981

Excellent Care Provider INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility San Mateo, CA

Practice location

Address: 840 Kathryne Ave, San Mateo, CA 94401-3125
Phone: (650) 703-3532
Fax: (650) 583-8224

Authorised official

Name: Avelina Q Alfonso
Title: Owner/President
Phone: (650) 255-1072

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 220000364 (CA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1982085981
Entity type: Organization
NPI issued: 16 Jun 2015
Record last updated: 16 Jun 2015

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.