Provider Demographics
NPI:1811268386
Name:EXCEPTIONAL MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:EXCEPTIONAL MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVEEDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ARGROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-272-5229
Mailing Address - Street 1:20 HALYARD DR
Mailing Address - Street 2:
Mailing Address - City:PORT WENTWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:31407-9755
Mailing Address - Country:US
Mailing Address - Phone:912-272-5229
Mailing Address - Fax:
Practice Address - Street 1:20 HALYARD DR
Practice Address - Street 2:
Practice Address - City:PORT WENTWORTH
Practice Address - State:GA
Practice Address - Zip Code:31407-9755
Practice Address - Country:US
Practice Address - Phone:912-272-5229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health