Organization
PHENIX ENTERPRISE SERVICES, LLC
Active
Other names
Helping Hands Private Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGERS GIBSON (ADMINISTRATOR)
(678) 845-9313
Entity
Organization
Contact information
Practice address
180 CHAMPIONSHIP CT, FAYETTEVILLE, GA 30215-8017
(678) 845-9313
Mailing address
180 CHAMPIONSHIP CT, FAYETTEVILLE, GA 30215-8017
(678) 845-9313
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
11-00034735
GA
310400000X
Assisted Living Facility
11-00034735
GA
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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