| NPI | 1962629469 |
|---|---|
| Doing Business As | EXCELSIOR CARE |
| Entity Type | Organization |
| Authorized Contact | JEREMIAH JOSEPH GUCCIONE Operations Officer 941-798-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 676557296) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |