Organization
PHOENIX HEALTH CARE SERVICES LLC
Active
Other names
Phoenix Care Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YULIET RODRIGUEZ (OWNER/ADMIN)
(561) 827-3765
Entity
Organization
Contact information
Practice address
601 GROVE ST, LAKE WORTH BEACH, FL 33461-5613
(321) 368-0300
Mailing address
601 GROVE ST, LAKE WORTH BEACH, FL 33461-5613
(321) 368-0300
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239438
AHCA
FL
Enumeration date
09/21/2023
Last updated
09/21/2023
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