| NPI | 1043909096 |
|---|---|
| Former Legal Business Name | PHENIX NURSING CARE INC |
| Entity Type | Organization |
| Authorized Contact | NEFER MEDINA Administrator/President 786-345-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2025-09-17 |