PHOENIX HOME CARE ILLINOIS, LLC

O FALLON, IL
NPI1720465834
Entity TypeOrganization
Authorized ContactGEORGE SCOTT HERMAN
President/Secretary
512-632-7156
Organization Subpart ?Yes
Primary Taxonomy251J00000X Nursing Care
Enumeration Date2015-04-28
Last Update Date2021-12-03
Business Address
PHOENIX HOME CARE ILLINOIS, LLC
784 WALL ST SUITE B
O FALLON, IL 62269-1959
Phone number: 314-205-3020
Mailing Address
PHOENIX HOME CARE ILLINOIS, LLC
3450 N. ROCK RD #213 ATTN DEBRA MULLEN
WICHITA, KS 67226
Phone number: 316-688-5511
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