Organization
PHOENIX HOUSE, INC.
Active
Other names
Project Phoenix House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD KEITH HOUSTON (EXECUTIVE DIRECTOR)
(443) 847-7772
Entity
Organization
Contact information
Practice address
11664 LITTLE PATUXENT PKWY, SUITE 301, COLUMBIA, MD 21044-4436
(443) 847-7772
Mailing address
11664 LITTLE PATUXENT PKWY, SUITE 301, COLUMBIA, MD 21044-4436
(443) 847-7772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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