Provider Demographics
NPI:1366723421
Name:SURE CARE EXCEL INC
Entity type:Organization
Organization Name:SURE CARE EXCEL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MABRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-291-5210
Mailing Address - Street 1:1197 ST. CHARLES ROCK ROAD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2637
Mailing Address - Country:US
Mailing Address - Phone:314-291-5210
Mailing Address - Fax:314-291-5219
Practice Address - Street 1:1197 ST. CHARLES ROCK ROAD
Practice Address - Street 2:SUITE 121
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2637
Practice Address - Country:US
Practice Address - Phone:314-291-5210
Practice Address - Fax:314-291-5219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-02
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care