Organization
EXCEL LEARNING CENTER
Active
Other names
Excel For Life, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO JERMAINE JACKSON CRIMINAL JUSTICE DEG (DIRECTOR)
(252) 205-0381
Entity
Organization
Contact information
Practice address
1724 CAROLINA AVE, WASHINGTON, NC 27889-3315
(252) 946-4243
(252) 975-8049
Mailing address
1724 CAROLINA AVE, WASHINGTON, NC 27889-3315
(252) 946-4243
(252) 975-8049
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
050314
NC
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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