Organization
PHOENIX HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISH BOLDEN (DIRECTOR)
(609) 705-2561
Entity
Organization
Contact information
Practice address
12334 QUARTERBACK CT, BOWIE, MD 20720-4396
(609) 705-2561
Mailing address
12334 QUARTERBACK CT, BOWIE, MD 20720-4396
(609) 705-2561
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
01/15/2025
Last updated
02/03/2025
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