PHOENIX RISEN, LLC

LOUISVILLE, KY
NPI1750117784
Entity TypeOrganization
Authorized ContactCHIQUITA CONNER
Owner
804-651-2688
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2024-09-09
Last Update Date2024-09-09
Business Address
PHOENIX RISEN, LLC
2112 RATCLIFFE AVE
LOUISVILLE, KY 40210-2252
Phone number: 804-651-2688
Mailing Address
PHOENIX RISEN, LLC
6709 REBECCA LN
LOUISVILLE, KY 40258-3011
Phone number: 804-651-2688
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