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Phoenix Home Care, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Springfield, Missouri
NPI 1003382680

Phoenix Home Care, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wichita, MO. Phoenix Home Care, Llc practices in Springfield, MO. The NPI Number for Phoenix Home Care, Llc is 1003382680 and holds a License No. (Missouri).

The current practice location address for Phoenix Home Care, Llc is 3033 S Kansas Expy, Springfield, MO and can be reached out via phone at 417-881-7442 and via fax at 417-889-7442.

Location: 3033 S Kansas Expy, Springfield, MO, 67226-1352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003382680
Provider Name
Phoenix Home Care, Llc
Credential
Provider Entity Type
Organization
Address
3033 S Kansas Expy, Springfield, MO, 67226-1352
Phone Number
417-881-7442
Fax Number
417-889-7442
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3033 S Kansas Expy
City
Springfield
State
Missouri
Zip
65807-5969
Phone Number
417-881-7442
Fax Number
417-889-7442
person
Provider Business Mailing Address Details
Address
3033 S Kansas Expy
City
Springfield
State
Missouri
Zip
65807-5969
Phone Number
417-881-7442
Fax Number
417-889-7442
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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