| Phoenix Habilitation, Llc | |
|
9535 N 1150 W Redkey IN 47373-9610 | |
| (765) 716-1934 | |
| Not Available |
| Full Name | Phoenix Habilitation, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9535 N 1150 W, Redkey, Indiana |
| Authorized Official Name and Position | Pamela Curtis (CEO/OWNER) |
| Authorized Official Contact | 7657161934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Habilitation, Llc 9535 N 1150 W Redkey IN 47373-9610 Ph: (765) 716-1934 | Phoenix Habilitation, Llc 9535 N 1150 W Redkey IN 47373-9610 Ph: (765) 716-1934 |
| NPI Number | 1265177026 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265177026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |