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Organization

PROACTIVE ASSOCIATES, LLC

Active
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Organization

PROACTIVE ASSOCIATES, LLC

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
GEORGE SCOTT HERMAN (PRESIDENT & SECRETARY)
(512) 632-7156
Entity
Organization

Contact information

Practice address
3450 N ROCK ROAD, 213, WICHITA, KS 67226-1352
(316) 688-5511
(316) 688-1081
Mailing address
2450 N ROCK ROAD, SUITE # 213, ATTN: DEBRA MULLEN, WICHITA, KS 67060
(316) 688-5511

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A087065
KS

Other

Enumeration date
06/07/2007
Last updated
12/08/2021
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