Phenix Enterprise Services, Llc

NPI 1235494246 - Assisted Living Facility - 310400000X

NPI Details
NPI 1235494246
Enumeration Date 07/06/2012
Last Updated 07/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROGERS ROGERS
Position ADMINISTRATOR
Phone (678) 845-9313
Fax
Practice Location
180 CHAMPIONSHIP CT
FAYETTEVILLE GA, 30215-8017, US
Phone (678) 845-9313
Fax
Business Location
180 CHAMPIONSHIP CT
FAYETTEVILLE GA, 30215-8017, US
Phone (678) 845-9313
Fax
Toxanomy
Taxonomy Code 310400000X
License State Georgia
License Number 11-00034735
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According to our database, Phenix Enterprise Services, Llc NPI is 1235494246, taxonomy code is 310400000X and license number is 11-00034735, license state is located at Georgia. Phenix Enterprise Services, Llc physically located at 180 Championship Ct, Fayetteville GA, 30215-8017. NPI Number 1033115704 has the healthcare provider type.

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1235494246 NPI number is provided on an as is basis without warranty of any kind. 1235494246 is maintained by the National Plan & Provider Enumeration System. The contents of Phenix Enterprise Services, Llc are for informational purposes only.