Organization
EXCEPTIONAL SERVICE HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY RENEE EASON (OWER/CEO)
(919) 408-1230
Entity
Organization
Contact information
Practice address
3329 CHAPEL HILL BLVD, SERVICE ROAD, SUIT 100, DURHAM, NC 27707-2663
(919) 408-1230
Mailing address
3804 ZENITH PL, DURHAM, NC 27705-2118
(919) 294-6595
(919) 477-4042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
HC4646
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC4646
NC
Other
Enumeration date
07/17/2014
Last updated
03/06/2015
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