Provider Demographics
NPI:1124278536
Name:EXCEPTIONAL EMPLOYMENT SERVICES L.L.C.
Entity type:Organization
Organization Name:EXCEPTIONAL EMPLOYMENT SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYMENT SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-753-3631
Mailing Address - Street 1:701 N STOCKTON HILL RD
Mailing Address - Street 2:SUITE I
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-7103
Mailing Address - Country:US
Mailing Address - Phone:928-753-3631
Mailing Address - Fax:928-753-3830
Practice Address - Street 1:701 N STOCKTON HILL RD
Practice Address - Street 2:SUITE I
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86401-7103
Practice Address - Country:US
Practice Address - Phone:928-753-3631
Practice Address - Fax:928-753-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCSA08ADHS0201251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health