Organization
PHOENIX HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALEX MELUGIN (VICE PRESIDENT OF OPERATIONS)
(316) 688-5511
Entity
Organization
Contact information
Practice address
2088 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4010
(365) 730-0376
(866) 352-0729
Mailing address
3450 N ROCK RD STE 213, WICHITA, KS 67226-1352
(316) 688-5511
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
10/18/2022
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