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Organization
PHOENIX HOME CARE SERVICE, INC.
Active
Organization
PHOENIX HOME CARE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE SCARBOROUGH RN, BSN (ADMINISTRATOR)
(806) 784-0033
Entity
Organization
Contact information
Practice address
2302 34TH ST, LUBBOCK, TX 79411-1634
(806) 784-0033
(806) 784-0603
Mailing address
2302 34TH ST, LUBBOCK, TX 79411-1634
(806) 784-0033
(806) 784-0603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
013599
TX
Other
Enumeration date
11/09/2006
Last updated
11/29/2011
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