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Organization
BRAXTON FAMILY SERVICES
Active
Organization
BRAXTON FAMILY SERVICES
Active
Parent organization
EXCEL CASE MANAGMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCEL CASE MANAGMENT, LLC
Authorized official
TARA M SHORTER (OWNER/DIRECTOR)
(804) 368-3768
Entity
Organization
Contact information
Practice address
9463 TRACEY LYNNE CIR, GLEN ALLEN, VA 23060-3783
(804) 368-3768
(804) 368-1938
Mailing address
11357 NUCKOLS RD # 1276, GLEN ALLEN, VA 23059-5504
(804) 368-3768
(804) 368-1938
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234174727
—
VA
05
—
0240830049
—
VA
Enumeration date
07/07/2017
Last updated
04/08/2024
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