Organization
PHOENIX RISING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN PRATHER (PRESIDENT)
(267) 734-4800
Entity
Organization
Contact information
Practice address
267 ANDARE BLVD, CLAYTON, DE 19938-3986
(267) 734-4800
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
10/03/2022
Last updated
10/03/2022
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