NPI 1043179864

Phoenix Independent Living INC

Organisation In Home Supportive Care Agency Gulfport, MS

Practice location

Address: 2810 53rd Ave APT B, Gulfport, MS 39501-5644
Phone: (601) 596-3786

Authorised official

Name: Justin Holcomb
Title: Administration
Phone: (601) 325-8121

Registered specialties (2)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in Mississippi →

Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

Other Technician providers in Mississippi →

Registry record

NPI: 1043179864
Entity type: Organization
NPI issued: 17 Jan 2026
Record last updated: 17 Jan 2026

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.