Organization
EXCEL TUTORING AND PERSONAL DEVELOPMENT
Active
Other names
Excel Personal Development
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN TILLMAN (PRESIDENT)
(704) 635-7766
Entity
Organization
Contact information
Practice address
1127 CURTIS ST, MONROE, NC 28112-5057
(704) 226-0180
(704) 226-0158
Mailing address
1502 N CHARLOTTE AVE, MONROE, NC 28110-2500
(704) 635-7766
(704) 635-7779
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901774
—
NC
05
—
5901775
—
NC
05
—
6005274
—
NC
05
—
6005275
—
NC
05
—
6005276
—
NC
05
—
6005464
—
NC
05
—
8300761
—
NC
05
—
8300762
—
NC
05
—
8300763
—
NC
05
—
8300847
—
NC
05
—
8300848
—
NC
05
—
8300849
—
NC
05
—
8301806
—
NC
05
—
8301807
—
NC
Enumeration date
01/23/2007
Last updated
12/29/2008
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