Organization
EXCELSIS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON G HAMILTON PH.D. (OWNER)
(832) 891-2507
Entity
Organization
Contact information
Practice address
1111 W SUPERSTITION BLVD, APACHE JUNCTION, AZ 85120-4044
(480) 625-1938
Mailing address
2522 SUNSTONE LN, PEARLAND, TX 77584-3249
(832) 891-2507
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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