Provider Demographics
NPI:1922160571
Name:EXCEPTIONAL EMPLOYMENT SERVICES, INC.
Entity Type:Organization
Organization Name:EXCEPTIONAL EMPLOYMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:D
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-482-8778
Mailing Address - Street 1:2621 RIDGEPOINT DR STE 130
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5224
Mailing Address - Country:US
Mailing Address - Phone:512-482-8778
Mailing Address - Fax:512-926-5773
Practice Address - Street 1:2621 RIDGEPOINT DR STE 130
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5224
Practice Address - Country:US
Practice Address - Phone:512-482-8778
Practice Address - Fax:512-926-5773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility