Organization
PHOENIX PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA FARMER BSW (MEMBER)
(573) 421-2450
Entity
Organization
Contact information
Practice address
50 HARLENE DR, SIKESTON, MO 63801-8317
(573) 421-2450
Mailing address
50 HARLENE DR, SIKESTON, MO 63801-8317
(573) 421-2450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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