| NPI | 1528395381 |
|---|---|
| Other Name | EXCEL EXTENDED CARE ORGANIZATION |
| Entity Type | Organization |
| Authorized Contact | EBONY A DANFORD Project Manager 702-655-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2011-08-23 |