Organization · Type 2 NPI
Phoenix Home Care Illinois, LLC
Nursing Care Agency · O Fallon, IL
Practice location
784 Wall St, Suite B
O Fallon, IL 62269-1959
Fax (314) 205-3031
Mailing address
3450 N. Rock Rd, #213 Attn Debra Mullen
Wichita, KS 67226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency Primary | 251J00000X | None listed |
Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
2 other providers at this address
About NPI 1720465834
Phoenix Home Care Illinois, LLC's National Provider Identifier is 1720465834, issued on Apr 28, 2015. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in O Fallon, IL. The record was last updated on Dec 3, 2021.