Organization
EXCEL BEYOND REACH GROUP HOME AND SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE FORDE (CEO)
(904) 314-7411
Entity
Organization
Contact information
Practice address
12379 GLIMMER WAY, JACKSONVILLE, FL 32219-1867
(904) 314-7411
Mailing address
12379 GLIMMER WAY, JACKSONVILLE, FL 32219-1867
(904) 314-7411
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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