Phoenix Home Care, LLC

NPI #1659610376 in Independence, Missouri

Provider Information

NPI Number
1659610376
Entity Type
Organization
Organization Name
Phoenix Home Care, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PHOENIX HOME CARE, INC.
Primary Specialty
Home Health
Enumeration Date
Feb 1, 2013
Last Updated
Dec 10, 2021

Practice Location

Address
14330 E 42ND ST S STE K
ZIP Code
64055-7300
Phone
(417) 881-7442

Authorized Official

Name
GEORGE SCOTT HERMAN
Title
PRESIDENT & SECRETARY
Phone
(316) 688-5511

Specialties & Taxonomy Codes

Specialty
Home Health

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