| NPI | 1689913394 |
|---|---|
| Doing Business As | PHOENIX HOME CARE |
| Entity Type | Organization |
| Authorized Contact | SANDRA DEE KELTNER Administrator 417-881-7442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |