Organization
PHOENIX HOME CARE, LLC
Active
Other names
Phoenix Home Care & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SCOTT HERMAN (PRESIDENT & SECRETARY)
(903) 390-4040
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, #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
12/08/2020
Last updated
12/10/2021
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