# PHOENICIAN HOMECARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902656333
- **Authorized official:** NICOLE BROWN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (623) 271-3565

## Contact information

- **Practice address:** 20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
- **Practice address phone:** (480) 714-9883
- **Practice address fax:** (480) 718-7885
- **Mailing address:** 20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
- **Mailing address phone:** (480) 714-9883
- **Mailing address fax:** (480) 718-7885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2024
- **Last updated:** 03/26/2024