Organization
PHOENIX HOME HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DONALD GRAHAM CPA (OWNER)
(405) 249-9709
Entity
Organization
Contact information
Practice address
2526 N MIDWEST BLVD, SPENCER, OK 73084-3838
(405) 249-9709
Mailing address
2526 N MIDWEST BLVD, SPENCER, OK 73084-3838
(405) 249-9709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OK
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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