| NPI | 1578661013 |
|---|---|
| Doing Business As | PHOENIX HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA G WANN-JEANE Owner 337-238-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-02-06 |