Organization
EXCEPTIONAL DELIVERANCE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANIKA JACKSON (CEO)
(716) 424-7335
Entity
Organization
Contact information
Practice address
484 FRUITWOOD TER, WILLIAMSVILLE, NY 14221-1910
(716) 424-7335
Mailing address
484 FRUITWOOD TER, WILLIAMSVILLE, NY 14221-1910
(716) 424-7335
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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