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EXCEL FOR LIFE, LLC (CHERRYRUN HOME)
NPI 1942369079
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Washington, NC

Active since December 06, 2006
2310 CHERRY RUN RD, WASHINGTON, NC 27889(252) 946-8069(252) 205-0381 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Excel For Life, Llc (cherryrun Home) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXCEL FOR LIFE, LLC (CHERRYRUN HOME) (NPI 1942369079) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Washington, North Carolina and active in the NPI registry since December 2006. The organization lists Mario Jermaine Jackson, Director, as its authorized official.

NPPES Registry Identity

NPI1942369079
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameEXCEL FOR LIFE, LLC (CHERRYRUN HOME)
Location Address2310 CHERRY RUN RDWashington, NC 27889-8366
Mailing Address2310 Cherry Run RdWashington, NC 27889-8366 · (252) 946-8069 · Fax (252) 205-0381
Phone(252) 946-8069
Fax(252) 205-0381
Organization SubpartNo
Authorized OfficialMario Jermaine JacksonDirector · (252) 205-0381
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942369079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · 007052
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

2310 CHERRY RUN RD, Washington, NC 27889
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Reviews for EXCEL FOR LIFE, LLC (CHERRYRUN HOME)

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

EXCEL 4 LIFE, INC
Residential Treatment Facility, Emotionally Disturbed Children
2310 CHERRY RUN RD
WASHINGTON, NC 27889
Beaufort County (252) 205-0381

Frequently Asked Questions

What is EXCEL FOR LIFE, LLC (CHERRYRUN HOME)'s NPI number?

The NPI number assigned to this healthcare provider is 1942369079, enumerated as an "organization" on December 06, 2006.

Where is the provider located?

The provider is located at 2310 CHERRY RUN RD WASHINGTON, NC 27889 and the phone number is (252) 946-8069.

What is the provider's specialty?

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.