Organization
EXCEPTIONAL HEALTH CARE PRESCOTT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD IVAN COLLINS CPA (DIRECTOR OF FINANCE)
(972) 740-9335
Entity
Organization
Contact information
Practice address
4822 E STATE ROUTE 69, PRESCOTT, AZ 86301-6885
(972) 740-9335
(469) 807-1208
Mailing address
3514 CEDAR SPRINGS RD, DALLAS, TX 75219-4901
(469) 341-7800
(806) 353-3201
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
02/26/2025
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