Organization
PHOENIX PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEE YANG (OWNER/VICE PRESIDENT)
(920) 267-2740
Entity
Organization
Contact information
Practice address
9525 W ALLERTON AVE, GREENFIELD, WI 53228-2733
(920) 267-2740
Mailing address
9525 W ALLERTON AVE, GREENFIELD, WI 53228-2733
(920) 267-2740
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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