NPI 1003382680

Phoenix Home Care, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Springfield, MO

Practice location

Address: 3033 S Kansas Expy, Springfield, MO 65807-5969
Phone: (417) 881-7442
Fax: (417) 889-7442
Mailing address: 3450 N. Rock Rd. #213, Attn: Debra Mullen, Wichita, KS 67226-1352

Authorised official

Name: George Scott Herman
Title: President & Secretary
Phone: (417) 838-3000

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Missouri →

Registry record

NPI: 1003382680
Entity type: Organization
NPI issued: 22 Oct 2018
Record last updated: 13 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.