Phoenix Provider Services
Phoenix Provider Services is an In Home Supportive Care Agency in Salado, Texas. Licensed in Texas. Registered with an NPI since 2017.
- Licensed in
- TX
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
113 N Stagecoach RdSalado, TX 76571-6109
Phone: (254) 220-3322
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 017609 (TX) |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
Record details
| NPI number | 1659818185 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jamie Burgess — Administrator/Owner · (254) 220-3322 |
| NPI enumerated | January 23, 2017 |
| Last updated in NPPES | January 28, 2019 |
| Mailing address | 6213 Suellen Ln, Killeen, TX 76542-5479 |