Provider Demographics
NPI:1235823311
Name:EXEMPLARY HOME THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:EXEMPLARY HOME THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BACOLOD
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:856-506-6281
Mailing Address - Street 1:1616 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-5346
Mailing Address - Country:US
Mailing Address - Phone:856-506-6281
Mailing Address - Fax:862-762-2998
Practice Address - Street 1:1616 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-5346
Practice Address - Country:US
Practice Address - Phone:856-506-6281
Practice Address - Fax:862-762-2998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation