| NPI | 1467031765 |
|---|---|
| Doing Business As | PHOENIX HOME CARE |
| Entity Type | Organization |
| Authorized Contact | GREGORY ALEX MELUGIN Vice President Of Operations 316-688-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |