# CORLISS Y PHILLIPS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114597259
- **Gender:** F
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 5195534 | FL | — |
| 251E00000X | Home Health Agency | 30212271 | FL | — |
| 251J00000X | Nursing Care Agency | PN5195534 | FL | — |
| 251S00000X | Community/Behavioral Health Agency | 30212271 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 234020 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 30212271 | FL | — |
| 372500000X | Chore Provider | 234020 | FL | — |
| 372500000X | Chore Provider | 30212271 | FL | — |
| 372600000X | Adult Companion | 234020 | FL | Yes |
| 372600000X | Adult Companion | 30212271 | FL | — |
| 374U00000X | Home Health Aide | 30212271 | FL | — |
| 376J00000X | Homemaker | 234020 | FL | — |
| 376J00000X | Homemaker | 30212271 | FL | — |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 12/21/2025