MEDICARE: EXCEL-CARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

General Provider Information

NPI Number	:	1073941118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL-CARE SERVICES INC

Provider Business Mailing Address
First Line	:	11301 BERTRAND AVE
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-3302
Country	:	US
Telephone Number	:	818-708-8330
Fax Number	:

Provider Business Practice Location Address
First Line	:	22720 BURTON ST
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91304-3708
Country	:	US
Telephone Number	:	818-708-8330
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SEVERINA C ZOKAIE
Credential	:
Telephone Number	:	818-703-8330

Provider Enumeration Date	:	10/29/2013
Last Update Date	:	12/03/2013

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Directions to “EXCEL-CARE SERVICES INC ” Practice Location

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