| NPI | 1477288710 |
|---|---|
| Doing Business As | EXCALIBUR HC, LLC |
| Entity Type | Organization |
| Authorized Contact | LINATTE STEPHENS Credentialing/Contracting 480-964-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |