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Organization

EXCEPTIONAL ENTERPRISES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM R. LINGLE (EXECUTIVE DIRECTOR)
(931) 692-2235
Entity
Organization

Contact information

Practice address
23 N INDUSTRIAL PARK RD, COALMONT, TN 37313-2501
(931) 692-2235
(931) 692-2244
Mailing address
23 N INDUSTRIAL PARK RD, COALMONT, TN 37313-2501
(931) 692-2235
(931) 692-2244

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L08065
TN
253Z00000X
In Home Supportive Care Agency
L08065
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
365
TN
Enumeration date
11/17/2011
Last updated
11/17/2011
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