| Excel Healthcare Llc | |
|
12733 W Desert Flower Rd Avondale AZ 85392-7005 | |
| (206) 537-5549 | |
| Not Available |
| Full Name | Excel Healthcare Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12733 W Desert Flower Rd, Avondale, Arizona |
| Authorized Official Name and Position | Edward Essa Fofanah (OWNER) |
| Authorized Official Contact | 2065375549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Healthcare Llc 12733 W Desert Flower Rd Avondale AZ 85392-7005 Ph: (206) 537-5549 | Excel Healthcare Llc 12733 W Desert Flower Rd Avondale AZ 85392-7005 Ph: (206) 537-5549 |
| NPI Number | 1366127417 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366127417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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