Phoenix Management LLC
NPI #1154714897 in Chubbuck, Idaho
Provider Information
- NPI Number
- 1154714897
- Entity Type
- Organization
- Organization Name
- Phoenix Management LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Mar 5, 2015
- Last Updated
- Mar 5, 2015
Practice Location
Authorized Official
- Name
- MS. MERINDA HALLADAY
- Title
- OWNER/ADMINISTRATOR
- Phone
- (208) 317-3625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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