Provider Demographics
NPI:1821147893
Name:EXCEPTIONALCARE, INC.
Entity Type:Organization
Organization Name:EXCEPTIONALCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HARROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-465-8766
Mailing Address - Street 1:2402 W MORTON ST STE 112
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-1402
Mailing Address - Country:US
Mailing Address - Phone:903-465-8766
Mailing Address - Fax:903-465-8799
Practice Address - Street 1:2402 W MORTON ST STE 112
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-1402
Practice Address - Country:US
Practice Address - Phone:903-465-8766
Practice Address - Fax:903-465-8799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities