Phoenix Isl

LBN: Phoenix Isl
Phoenix Isl is an health care organization with primary practice located at 26823 S Brookhart Dr , Harrisonville MO 64701-6357. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Phoenix Isl can be contacted via phone (816) 380-0723, or through Kilgore, Dale via phone (816) 380-0723.

Contact Information

Primary practice address
26823 S Brookhart Dr Harrisonville MO 64701-6357
Phone: (816) 380-0723
Fax: (816) 380-5083
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Dale
Phone: (816) 380-0723

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Missouri

Profile Details

NPI number 1831248012
LBN Legal business name Phoenix Isl
DBA Doing business as
Authorized official Kilgore, Dale
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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