Organization
PHOENIX HOME CARE, INC.
Active
Other names
Phoenix Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALEX MELUGIN (VP 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) 889-7442
Mailing address
3033 S KANSAS EXPY, SPRINGFIELD, MO 65807-5969
(417) 881-7442
(417) 889-7442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
267629
MO
Other
Enumeration date
07/10/2017
Last updated
03/08/2021
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