Excellence Community Rehabilitation Program Llc
LBN: Excellence Community Rehabilitation Program Llc
Excellence Community Rehabilitation Program Llc is an health care organization with primary practice located at 37025 La Contempo Ave , Palmdale CA 93550-7351. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Excellence Community Rehabilitation Program Llc can be contacted via phone (424) 789-0439, or through Askew, Octavia via phone (424) 789-0439.
Contact Information
Primary practice address
37025 La Contempo Ave
Palmdale CA 93550-7351
Phone: (424) 789-0439
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X |
Profile Details
| NPI number | 1184342099 |
|---|---|
| LBN Legal business name | Excellence Community Rehabilitation Program Llc |
| DBA Doing business as | |
| Authorized official | Askew, Octavia PH.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2022 |
| Last updated | Feb 22nd, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184342099 | NPPES |
| California | Other | 197610283 | ADULT RESIDENTIAL FACILITY LICENSE |
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