The services my father receives from Excel is amazing, I have no complain with the caregiver except for the few times she has issues with her car and that sometimes affect our personal schedules. But the caregiver has been a great help to my dad, he loves her, and I would rate the agency a 9 out of 10. The management staff are able to assist me whenever I contact them with questions, I would rate the communication service a 10 out of 10. I have already recommended Excel to my neighbors in need of home care because of the good job they do with my dad.