| NPI | 1043713993 |
|---|---|
| Doing Business As | PHOENIX HOME CARE |
| Entity Type | Organization |
| Authorized Contact | SYLVIE BOAL Compliance 909-644-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: CO 04Z780) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2022-04-28 |