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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