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Organization
THE PHOENIX PROJECT, INC
Active
Organization
THE PHOENIX PROJECT, INC
Active
Other names
Phoenix Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA NANNETTE BAKER (CHIEF EXECUTIVE OFFICER)
(704) 605-3465
Entity
Organization
Contact information
Practice address
7671 ABIGAIL GLEN DR, CHARLOTTE, NC 28212-8643
(809) 210-6099
Mailing address
7671 ABIGAIL GLEN DR, CHARLOTTE, NC 28212-8643
(980) 210-6099
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/18/2021
Last updated
04/05/2023
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