PHOENIX HOUSE CHILD AGENCY
Custodial Care Facility
Waxhaw, North Carolina
Provider NPI: 1053586065
Organization Information:Organization Name: PHOENIX HOUSE CHILD AGENCY
Practice Location:
8916 WOODHALL LAKE DR WAXHAW, NC 28173 US
Tel: 704-536-7931 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
8916 WOODHALL LAKE DR WAXHAW, NC 28173 US
Tel: 704-536-7931 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility |