Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Excel for Life, LLC (Cherryrun Home)

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1942369079

Excel for Life, LLC (Cherryrun Home) is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Washington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2310 Cherry Run Rd
Washington, NC 27889-8366
Phone: (252) 946-8069
Fax: (252) 205-0381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 007052 (NC)

Record details

NPI number1942369079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Jackson — Director · (252) 205-0381
NPI enumeratedDecember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2310 Cherry Run Rd, Washington, NC 27889-8366

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