Organization Name: | EXCEL INTERVENTION AND THERAPEUTIC SERVICES |
NPI Number: | 1730569443 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALICIA HARDIN CARTER (EXECUTIVE DIRECTOR) |
Mailing Address: | 7059 Crewe Rd Hayes |
State: | VA US |
Postal Code: | 230723316 |
Phone Number: | 7572070936 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 2493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |