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1972736221
PHOENIX RISING LLC
BALTIMORE, MD
NPI
1972736221
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Entity Type
Organization
Authorized Contact
KWAME TANNER
Owner
443-315-6152
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: MD r2759)
Enumeration Date
2009-09-02
Last Update Date
2009-09-02
Business Address
PHOENIX RISING LLC
3106 E NORTHERN PKWY
BALTIMORE, MD 21214-1420
Phone number: 410-444-9999
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Mailing Address
PHOENIX RISING LLC
3106 E NORTHERN PKWY
BALTIMORE, MD 21214-1420
Phone number: 410-444-9999
Copy
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