Exceptional Provider Service, LLC

NPI #1013511153 in San Antonio, Texas

Provider Information

NPI Number: 1013511153
Entity Type: Organization
Organization Name: Exceptional Provider Service, LLC
Primary Specialty: Home Health
Enumeration Date: Nov 30, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 8546 BROADWAY STE 206
City: San Antonio
State: Texas
ZIP Code: 78217-6340
Phone: (210) 579-0223

Authorized Official

Name: DANIEL CASTILLO
Title: CEO/ADMINISTRATOR
Phone: (210) 579-0223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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