Organization
EXCALIBUR HC, LLC
Active
Other names
EXCALIBUR HC, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LINATTE STEPHENS (CREDENTIALING/CONTRACTING)
(480) 964-3519
Entity
Organization
Contact information
Practice address
530 E MCDOWELL RD # 107-58, PHOENIX, AZ 85004-1549
(602) 834-8560
(602) 865-7181
Mailing address
530 E MCDOWELL RD # 107-58, PHOENIX, AZ 85004-1549
(602) 834-8560
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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