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Organization
PHOENIX HOME CARE, LLC
Active
Organization
PHOENIX HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SCOTT HERMAN (PRESIDENT & SECRETARY)
(316) 688-5511
Entity
Organization
Contact information
Practice address
1839 E INDEPENDENCE ST STE K, SPRINGFIELD, MO 65804-3753
(417) 881-7442
(417) 889-7442
Mailing address
3450 N. ROCK RD., #213 ATTN: DEBRA MULLEN, WICHITA, KS 67226
(316) 688-5511
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/20/2011
Last updated
12/10/2021
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