Provider Demographics
NPI:1376721183
Name:EXCEPTIONAL CARE L.L.C.
Entity Type:Organization
Organization Name:EXCEPTIONAL CARE L.L.C.
Other - Org Name:EXCEPTIONAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-374-9894
Mailing Address - Street 1:2446 W MEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-1539
Mailing Address - Country:US
Mailing Address - Phone:414-374-9894
Mailing Address - Fax:
Practice Address - Street 1:2446 W MEDFORD AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-1539
Practice Address - Country:US
Practice Address - Phone:414-374-9894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SONIA REED,EXCEPTIONAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WINONE251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health