PH
PHOENIX HOUSE CHILD AGENCY
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
WAXHAW, NC
Licensed since
2008
Rate
—
Federal identifiers
NPI registry number1053586065
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameLESLIE TAYLOR
TitleSOCIAL WORKER
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