NPI 1023603503
Phenomenal Healthcare, LLC
Practice location
- Address
- 6815 Atlantic Blvd STE 3, Jacksonville, FL 32211-8764
- Phone
- (904) 438-5837
Authorised official
- Name
- Marlena Ellis
- Title
- President/Treasurer
- Phone
- (904) 438-5837
Registered specialties (2)
In Home Supportive Care Agency
Primary
Home Health Agency
Registry record
- NPI
- 1023603503
- Entity type
- Organization
- NPI issued
- 5 Mar 2021
- Record last updated
- 8 Mar 2022
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.