| Excel Care | |
|
2310 Letitia St Vicksburg MS 39180-4138 | |
| (225) 610-5376 | |
| (225) 361-0483 |
| Full Name | Excel Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2310 Letitia St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Dickson E Idusuyi (CEO) |
| Authorized Official Contact | 2256105376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Care 2310 Letitia St Vicksburg MS 39180-4138 Ph: (225) 610-5376 | Excel Care 2310 Letitia St Vicksburg MS 39180-4138 Ph: (225) 610-5376 |
| NPI Number | 1538846571 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538846571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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