Provider Demographics
NPI:1124566039
Name:EXCEPTIOANL CARE IN HOME SERVICES INC
Entity Type:Organization
Organization Name:EXCEPTIOANL CARE IN HOME SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EZEKEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:OBASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-260-7688
Mailing Address - Street 1:5600 DELMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112-2616
Mailing Address - Country:US
Mailing Address - Phone:314-260-7688
Mailing Address - Fax:
Practice Address - Street 1:5600 DELMAR BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112-2616
Practice Address - Country:US
Practice Address - Phone:314-260-7688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization