NPI 1235494246

Phenix Enterprise Services, LLC

Organisation In Home Supportive Care Agency Fayetteville, GA

Practice location

Address: 180 Championship CT, Fayetteville, GA 30215-8017
Phone: (678) 845-9313

Authorised official

Name: Rogers Gibson
Title: Administrator
Phone: (678) 845-9313

Registered specialties (2)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X Licence 11-00034735 (GA)

Other In Home Supportive Care providers in Georgia →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 11-00034735 (GA)

Other Assisted Living Facility providers in Georgia →

Registry record

NPI: 1235494246
Entity type: Organization
NPI issued: 6 Jul 2012
Record last updated: 6 Jul 2012

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.