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Organization
PHOENIX HOME CARE, INC.
Active
Organization
PHOENIX HOME CARE, INC.
Active
Parent organization
PHOENIX HOME CARE, INC.
Other names
Phoenix Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX HOME CARE, INC.
Authorized official
MRS. SANDRA DEE KELTNER RN (ADMINISTRATOR)
(417) 881-7442
Entity
Organization
Contact information
Practice address
1410 I 70 DR SW, SUITE 100, COLUMBIA, MO 65203-2068
(573) 442-9911
(573) 442-9901
Mailing address
1410 I 70 DR SW, SUITE 100, COLUMBIA, MO 65203-2068
(573) 442-9911
(573) 442-9901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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