Organization
EXCEL LEARNING CENTER
Active
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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