| Excel 4 Life, Inc | |
|
149 N Market St Washington NC 27889-4947 | |
| (252) 946-4243 | |
| (252) 946-4243 |
| Full Name | Excel 4 Life, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 149 N Market St, Washington, North Carolina |
| Authorized Official Name and Position | Mario Jackson (OWNER/DIRECTOR) |
| Authorized Official Contact | 2522050381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel 4 Life, Inc 149 N Market St Washington NC 27889-4947 Ph: (252) 946-4243 | Excel 4 Life, Inc 149 N Market St Washington NC 27889-4947 Ph: (252) 946-4243 |
| NPI Number | 1720211212 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 08/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720211212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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