Provider Demographics
NPI:1245732536
Name:EXCEPTIONAL MED-HELP, LLC
Entity type:Organization
Organization Name:EXCEPTIONAL MED-HELP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:337-884-4739
Mailing Address - Street 1:2311 LEGION ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-6676
Mailing Address - Country:US
Mailing Address - Phone:337-884-4739
Mailing Address - Fax:337-419-1592
Practice Address - Street 1:2311 LEGION ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-6676
Practice Address - Country:US
Practice Address - Phone:337-884-4739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care