Phoenix Provider Services

NPI #1659818185 in Salado, Texas

Provider Information

NPI Number
1659818185
Entity Type
Organization
Organization Name
Phoenix Provider Services
Primary Specialty
In Home Supportive Care
Enumeration Date
Jan 23, 2017
Last Updated
Jan 28, 2019

Practice Location

Address
113 N STAGECOACH RD
City
Salado
State
Texas
ZIP Code
76571-6109
Phone
(254) 220-3322

Authorized Official

Name
JAMIE BURGESS
Title
ADMINISTRATOR/OWNER
Phone
(254) 220-3322

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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