EXCEPTIONAL PROVIDER SERVICE, LLC

SAN ANTONIO, TX
NPI1013511153
Doing Business AsEXCEPTIONAL PEDI CARE
Entity TypeOrganization
Authorized ContactDANIEL CASTILLO
CEO/Administrator
210-579-0223
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2020-11-30
Last Update Date2020-11-30
Business Address
EXCEPTIONAL PROVIDER SERVICE, LLC
8546 BROADWAY STE 206
SAN ANTONIO, TX 78217-6340
Phone number: 210-579-0223
Mailing Address
EXCEPTIONAL PROVIDER SERVICE, LLC
PO BOX 632
LEMING, TX 78050-0632
Phone number: 210-579-0223