Organization · Type 2 NPI

Excellence Community Rehabilitation Program LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Palmdale, CA

NPI number 1184342099 Active

Practice location

37025 La Contempo Ave
Palmdale, CA 93550-7351

Call (424) 789-0439 Map

Mailing address

1607 E Palmdale Blvd Ste G
Palmdale, CA 93550-7801

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

6 other providers at this address

Other intellectual and/or developmental disabilities residential treatment facility providers in Palmdale

Blueprint Development CenterIntellectual and/or Developmental Disabilities Residential Treatment Facility Palmdale, CA NPI 1386160562

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NPI record

NPI: 1184342099
Entity type: Organization (Type 2)
Issued: Aug 16, 2022
Last updated: Feb 22, 2023
Status: Active

Other names

Ecrp · doing business as
Excellence Community Residential Properties · doing business as

Authorized official

Miss Octavia Askew, PhD
Program Director/administrator
(424) 789-0439

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184342099

Excellence Community Rehabilitation Program LLC's National Provider Identifier is 1184342099, issued on Aug 16, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Palmdale, CA. The record was last updated on Feb 22, 2023.