# PHOENIX RESIDENTIAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellen Bee Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558461657
- **Authorized official:** MS. LISA T TOTH (CEO/OWNER)
- **Authorized official phone:** (918) 245-1884

## Contact information

- **Practice address:** 20 W 2ND ST, SUITE 200, SAND SPRINGS, OK 74063-7633
- **Practice address phone:** (918) 245-1884
- **Practice address fax:** (918) 245-0749
- **Mailing address:** 20 W 2ND ST, SUITE 200, SAND SPRINGS, OK 74063-7633
- **Mailing address phone:** (918) 245-1884
- **Mailing address fax:** (918) 245-0749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7960 | OK | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 200045930 | OK | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 06/01/2012