Organization
PHOENIX HOME CARE OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENZEL EDWARDS (OWNER)
(336) 695-4330
Entity
Organization
Contact information
Practice address
300 FRANKLIN ST, SUITE 238, MARTINSVILLE, VA 24112-2411
(336) 695-4331
(336) 621-3342
Mailing address
300 FRANKLIN ST STE 238, MARTINSVILLE, VA 24112-2162
(336) 695-4331
(336) 621-3342
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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