Phoenix Healthcare, LLC
NPI #1962634337 in Summit, Mississippi
Provider Information
- NPI Number
- 1962634337
- Entity Type
- Organization
- Organization Name
- Phoenix Healthcare, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHOENIX HEALTHCARE, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 18, 2009
- Last Updated
- Aug 18, 2009
Practice Location
- Address
- 606 SOUTH LAUREL STREET
- City
- Summit
- State
- Mississippi
- ZIP Code
- 39666-9487
- Phone
- (601) 276-3132
Authorized Official
- Name
- MR. ROLAND B WALL III
- Title
- MANAGER
- Phone
- (601) 932-3397
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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