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Organization
PHOENIX HOME CARE PASSPORT PROGRAM INC
Active
Organization
PHOENIX HOME CARE PASSPORT PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJENDER ALUGUBELLI REDDY (CEO)
(614) 888-8885
Entity
Organization
Contact information
Practice address
30 NORTHWOODS BLVD STE 200, COLUMBUS, OH 43235-4736
(614) 888-8885
(614) 888-8893
Mailing address
30 NORTHWOODS BLVD STE 200, COLUMBUS, OH 43235-4736
(614) 888-8885
(614) 888-8893
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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