Phoenix Agency LLC

NPI #1407739188 in N Las Vegas, Nevada

Provider Information

NPI Number
1407739188
Entity Type
Organization
Organization Name
Phoenix Agency LLC
Primary Specialty
Foster Care Agency
Enumeration Date
Jul 29, 2025
Last Updated
Jul 29, 2025

Practice Location

Address
723 SIENNA RISING DR
State
Nevada
ZIP Code
89031-1774
Phone
(702) 695-3334

Authorized Official

Name
DONALD WILSON JR.
Title
CEO
Phone
(702) 695-3334

Specialties & Taxonomy Codes

Specialty
Foster Care Agency

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