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Individual

MRS. MARCIA S PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
155 OSCAR BENJAMIN WAY, PERRY, FL 32348-4346
(850) 838-5068
(850) 223-1244
Mailing address
155 OSCAR BENJAMIN WAY, PERRY, FL 32348-4346
(850) 838-5068
(850) 223-1244

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
FL
372600000X
Adult Companion
FL
373H00000X
Day Training/Habilitation Specialist
Primary
FL
3747P1801X
Personal Care Attendant
FL
376J00000X
Homemaker
FL

Other

Enumeration date
11/02/2007
Last updated
11/02/2007
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