A person employed to operate a motor vehicle as a carrier of persons or property.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Driver |
172A00000X | |||
In Home Supportive Care |
253Z00000X | |||
Nursing Care |
251J00000X | |||
Residential Treatment Facility, Emotionally Disturbed Children |
322D00000X |
| NPI # | 1861099186 |
| LBN Legal business name | PHOENIX COMMUNITY SUPPORT SERVICES LLC |
| Authorized official | LASHUNDA SMITH POPE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/09/2020 |
| Last updated | 10/27/2020 - About 6 years ago |
| Identifiers | n/a |
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