Organization
XCEPTIONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONA WISE (ADMINISTRATOR)
(313) 461-8691
Entity
Organization
Contact information
Practice address
28925 GLENWOOD ST, INKSTER, MI 48141
(313) 461-8691
Mailing address
28925 GLENWOOD ST, INKSTER, MI 48141-1625
(313) 461-8691
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
06/08/2021
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