Organization · Type 2 NPI

Excel Beyond Reach Group Home and Support Services, Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL

NPI number 1902777022 Active

Practice location

12379 Glimmer Way
Jacksonville, FL 32219-1867

Call (904) 314-7411 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1902777022

Excel Beyond Reach Group Home and Support Services, Inc's National Provider Identifier is 1902777022, issued on Sep 12, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 12, 2025.