Organization
PHOENIX AGENCY LLC
Active
Other names
Phoenix Agency
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WILSON JR. (CEO)
(702) 695-3334
Entity
Organization
Contact information
Practice address
723 SIENNA RISING DR, N LAS VEGAS, NV 89031-1774
(702) 695-3334
(702) 695-3334
Mailing address
6462 LOSEE RD, SUITE 110 PO BOX 67, N LAS VEGAS, NV 89086
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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