Provider Demographics
NPI:1720473408
Name:BEYOND EXCELLENCE, LLC
Entity Type:Organization
Organization Name:BEYOND EXCELLENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RAWLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-249-2754
Mailing Address - Street 1:718 PLYMOUTH CIR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-7017
Mailing Address - Country:US
Mailing Address - Phone:757-249-2754
Mailing Address - Fax:757-249-2754
Practice Address - Street 1:718 PLYMOUTH CIR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-7017
Practice Address - Country:US
Practice Address - Phone:757-249-2754
Practice Address - Fax:757-249-2754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253J00000XAgenciesFoster Care Agency