Organization
PHENIX COMMUNITY CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE T KEITH JR. (CEO)
(404) 839-8994
Entity
Organization
Contact information
Practice address
6010 YELLOWOOD CT, COLLEGE PARK, GA 30349-6993
(404) 839-8994
Mailing address
6010 YELLOWOOD CT, COLLEGE PARK, GA 30349-6993
(404) 839-8994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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