Phoenix Specialtycare, Llc

LBN: Phoenix Specialtycare, Llc
Phoenix Specialtycare, Llc is an health care organization with primary practice located at 199 Interstate Dr Suite D, Richland MS 39218-4428. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Phoenix Specialtycare, Llc can be contacted via phone (601) 932-3815, or through Wall, Roland B via phone (601) 932-3815.

Contact Information

Primary practice address
199 Interstate Dr Suite D Richland MS 39218-4428
Phone: (601) 932-3815
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wall, Roland B
Phone: (601) 932-3815

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1053495515
LBN Legal business name Phoenix Specialtycare, Llc
DBA Doing business as
Authorized official Wall, Roland B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 18th, 2007 - about 18 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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