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1376226514
PHENOMENAL PHOENIX ENTERPRISES, LLC
WARREN, MI
NPI
1376226514
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Entity Type
Organization
Authorized Contact
DOMINIQUE JACKSON
Owner
313-957-8664
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
PHENOMENAL PHOENIX ENTERPRISES, LLC
24125 WEDGEWOOD CIR
WARREN, MI 48091-5874
Phone number: 313-957-8664
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Mailing Address
PHENOMENAL PHOENIX ENTERPRISES, LLC
7631 WARWICK ST UPPR
DETROIT, MI 48228-3318
Phone number:
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