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Organization

PHOENIX HOME CARE, LLC

Active
Other names
Phoenix Home Care and Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE SCOTT HERMAN (PRESIDENT & SECRETARY)
(316) 688-5511
Entity
Organization

Contact information

Practice address
14220 E 42ND ST S, INDEPENDENCE, MO 64055-4726
(816) 373-7442
Mailing address
3450 N. ROCK RD., #213, ATTN: DEBRA MULLEN, WICHITA, KS 67226-1352
(316) 688-5511

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
05/11/2015
Last updated
12/10/2021
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