Organization
EXCEPTIONAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY M STRAWTHER (CFO)
(817) 457-8324
Entity
Organization
Contact information
Practice address
2817 STARK ST STE A, FORT WORTH, TX 76112-6562
(817) 457-8324
Mailing address
2817 STARK ST STE A, FORT WORTH, TX 76112-6562
(817) 457-8324
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001583
—
TX
05
—
001004856
—
TX
05
—
001015618
—
TX
Enumeration date
07/25/2006
Last updated
02/27/2024
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