Excel Beyond Reach Group Home And Support Services, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL. Organization (NPI-2).
NPI number1902777022
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1902777022
- Entity type
- Organization (NPI-2)
- Legal business name
- Excel Beyond Reach Group Home And Support Services, INC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2025
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
12379 Glimmer WayJacksonville, FL 32219-1867
Phone 904-314-7411
Mailing address
12379 Glimmer WayJacksonville, FL 32219-1867
Phone 904-314-7411
Authorized official
Stephanie Forde
Ceo
9043147411
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