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PI

PHOENIX INDEPENDENT LIVING INC

Custodial Care Facility

OIG CLEARNPI VERIFIED
Location
GULFPORT, MS
Licensed since
2025
Rate
Federal identifiers
NPI registry number1124825666
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJUSTIN HOLCOMB
TitlePRESIDENT
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