Organization
PHOENIX HOME CARE, LLC
Active
Parent organization
PHOENIX HOME CARE, INC.
Other names
Phoenix Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX HOME CARE, INC.
Authorized official
GEORGE SCOTT HERMAN (PRESIDENT & SECRETARY)
(417) 881-7442
Entity
Organization
Contact information
Practice address
500 BROADWAY, JEFFERSON CITY, MO 65101-1610
(573) 635-3900
(573) 635-6297
Mailing address
3450 N. ROCK RD., WICHITA, KS 67226-1352
(316) 688-5511
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
853-HH
MO
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
12/10/2021
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