Organization
PHOENIX HOME CARE INC
Active
Other names
Phoenix Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ALEX MELUGIN (VICE PRESIDENT OF OPERATIONS)
(316) 688-5511
Entity
Organization
Contact information
Practice address
1839 E INDEPENDENCE ST STE K, SPRINGFIELD, MO 65804-3753
(417) 881-7442
(417) 988-9844
Mailing address
1839 E INDEPENDENCE ST STE K, SPRINGFIELD, MO 65804-3753
(417) 881-7442
(417) 988-9844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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