Provider Demographics
NPI:1366103459
Name:EXCEPTIONAL CARE CORPORATION
Entity type:Organization
Organization Name:EXCEPTIONAL CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZELDA
Authorized Official - Middle Name:VIOLET
Authorized Official - Last Name:KITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-301-5810
Mailing Address - Street 1:145 COUNTY ROAD 20
Mailing Address - Street 2:
Mailing Address - City:SHORTER
Mailing Address - State:AL
Mailing Address - Zip Code:36075-3408
Mailing Address - Country:US
Mailing Address - Phone:334-301-5810
Mailing Address - Fax:
Practice Address - Street 1:940 COUNTY ROAD 13
Practice Address - Street 2:
Practice Address - City:SHORTER
Practice Address - State:AL
Practice Address - Zip Code:36075-3312
Practice Address - Country:US
Practice Address - Phone:334-301-5810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-01
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty