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NPI Code Detail

MEDICARE: EXEMPLARY HOME THERAPY SERVICES LLC

MEDICARE: EXEMPLARY HOME THERAPY SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1235823311
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXEMPLARY HOME THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 1616 HAMILTON ST
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-5346
Country : US
Telephone Number : 856-506-6281
Fax Number : 862-762-2998
Provider Business Practice Location Address
First Line : 1616 HAMILTON ST
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-5346
Country : US
Telephone Number : 856-506-6281
Fax Number : 862-762-2998
Authorized Official
Title or Position : OWNER/MANAGER
Name : JOSE N BACOLOD JR.
Credential : PT, DPT
Telephone Number : 856-506-6281
Provider Enumeration Date : 06/02/2023
Last Update Date : 06/02/2023

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Directions to “EXEMPLARY HOME THERAPY SERVICES LLC ” Practice Location

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