Provider Demographics
NPI:1811227382
Name:EXCEPTIONAL EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:EXCEPTIONAL EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-398-1994
Mailing Address - Street 1:5960 S COOPER RD
Mailing Address - Street 2:STE 1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-5392
Mailing Address - Country:US
Mailing Address - Phone:480-398-1994
Mailing Address - Fax:480-398-1997
Practice Address - Street 1:5960 S COOPER RD
Practice Address - Street 2:STE 1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-5392
Practice Address - Country:US
Practice Address - Phone:480-398-1994
Practice Address - Fax:480-398-1997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services