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Organization
PHENIX ENTERPRISE SERVICES, LLC
Active
Organization
PHENIX ENTERPRISE SERVICES, LLC
Active
Other names
Helping Hands Private Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGERS GIBSON (ADMINISTRATOR)
(678) 845-9313
Entity
Organization
Contact information
Practice address
180 CHAMPIONSHIP CT, FAYETTEVILLE, GA 30215-8017
(678) 845-9313
Mailing address
180 CHAMPIONSHIP CT, FAYETTEVILLE, GA 30215-8017
(678) 845-9313
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
11-00034735
GA
310400000X
Assisted Living Facility
11-00034735
GA
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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