Excelcare Rehabilitation Services

LBN: Martez Antonio Johnson
Excelcare Rehabilitation Services is an health care organization with primary practice located at 3751 Bishop Ave , Jackson MS 39213-5017. The organization recently has only one registered license in Ambulatory Health Care Facilities / Hearing and Speech, which is considered as the primary health care specialty. Martez Antonio Johnson can be contacted via phone (601) 605-2313, or through Johnson, Martez Antonio via phone (601) 605-2313.

Contact Information

Primary practice address
3751 Bishop Ave Jackson MS 39213-5017
Phone: (601) 605-2313
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Martez Antonio
Phone: (601) 605-2313

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X

Profile Details

NPI number 1205075637
LBN Legal business name Martez Antonio Johnson
DBA Doing business as Excelcare Rehabilitation Services
Authorized official Johnson, Martez Antonio
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2009
Last updated Feb 9th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205075637 NPPES
Mississippi MEDICAID APPLIED FOR

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