Organization
EXCELLENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMECK NYAKWEBA (OWNER)
(602) 430-9646
Entity
Organization
Contact information
Practice address
14029 N 39TH AVE, PHOENIX, AZ 85053-5438
(602) 430-9646
Mailing address
14029 N 39TH AVE, PHOENIX, AZ 85053-5438
(602) 430-9646
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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