Organization
PHOENIX RISING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN TAKACS (OWNER)
(551) 265-5084
Entity
Organization
Contact information
Practice address
150 MONUMENT RD STE 207, BALA CYNWYD, PA 19004-1725
(551) 265-5084
Mailing address
93 SEMINOLE AVE, LINCOLN PARK, NJ 07035-2220
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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