EXCEL FOR LIFE, LLC
NPI 1902024144
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Washington, NC
- Organization
- Community Based Residential Treatment Fa...
About EXCEL FOR LIFE, LLC
This page provides the complete NPI Profile along with additional information for Excel For Life, Llc, a provider established in Washington, North Carolina operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1902024144 assigned on April 2007. The practitioner's primary taxonomy code is 320900000X with license number 050314 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Excel For Life, Llc. The authorized official of this NPI record is Mario Jermaine Jackson Criminal Justice Deg (Director)
- NPI
- 1902024144 Verify this NPI
- Provider Legal Name
- EXCEL LEARNING CENTER
- Other Organization Name
- EXCEL FOR LIFE, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1724 CAROLINA AVE WASHINGTON, NC 27889
- Location Phone
- (252) 946-4243
- Location Fax
- (252) 975-8049
- Mailing Address
- 1724 CAROLINA AVE WASHINGTON, NC 27889
- Mailing Phone
- (252) 946-4243
- Mailing Fax
- (252) 975-8049
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-23-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- 050314
- License State
- NC
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WASHINGTON, NC 27889
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902024144, enumerated as an "organization" on April 23, 2007.
The provider is located at 1724 CAROLINA AVE WASHINGTON, NC 27889 and the phone number is (252) 946-4243.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
