NPI 1578169231
Phoenix Home Care, LLC
Practice location
- Address
- 500 Broadway, Jefferson City, MO 65101-1610
- Phone
- (573) 635-3900
- Fax
- (573) 635-6297
- Mailing address
- 3450 N Rock Rd #213, Attn: Debra Mullen, Wichita, KS 67226-1352
Authorised official
- Name
- George Scott Herman
- Title
- President & Secretary
- Phone
- (903) 390-4040
Registered specialties
Community Based Hospice Care Agency
Primary
Registry record
- NPI
- 1578169231
- Entity type
- Organization
- NPI issued
- 8 Dec 2020
- Record last updated
- 10 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.