Organization
PHOENIX HOME CARE, LLC
Active
Other names
Phoenix Home Care and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SCOTT HERMAN (PRESIDENT & SECRETARY)
(417) 838-3000
Entity
Organization
Contact information
Practice address
3033 S KANSAS EXPY, SPRINGFIELD, MO 65807-5969
(417) 881-7442
(417) 889-7442
Mailing address
3450 N. ROCK RD., #213, ATTN: DEBRA MULLEN, WICHITA, KS 67226-1352
(316) 688-5511
(417) 889-7442
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
10/22/2018
Last updated
12/13/2021
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