Organization
PHOENIX RIZING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA EVANS (PRESIDENT)
(947) 282-6941
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR E STE 901, SOUTHFIELD, MI 48075-5331
(947) 282-6941
Mailing address
15565 NORTHLAND DR E STE 901, SOUTHFIELD, MI 48075-5331
(947) 282-6941
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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