Healthcare Provider Details

I. General information

NPI: 1487799698
Provider Name (Legal Business Name): XCEPTIONAL CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3951 SNAPFINGER PKWY STE 590
DECATUR GA
30035-3204
US

IV. Provider business mailing address

3951 SNAPFINGER PKWY STE 590
DECATUR GA
30035-3204
US

V. Phone/Fax

Practice location:
  • Phone: 404-534-1973
  • Fax: 404-534-1975
Mailing address:
  • Phone: 404-534-1973
  • Fax: 404-534-1975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CARLYN FORREST
Title or Position: ADMINISTRATOR
Credential: RN, MSN
Phone: 404-534-1973