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PHOENIX SPECIALTYCARE, LLC
NPI 1053495515
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Richland, MS

Active since October 24, 2006
199 INTERSTATE DR, SUITE D, RICHLAND, MS 39218(601) 932-3815 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phoenix Specialtycare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX SPECIALTYCARE, LLC (NPI 1053495515) is a healthcare organization registered as a parenteral & enteral nutrition in Richland, Mississippi and active in the NPI registry since October 2006. The organization lists Roland B Wall, Manager, as its authorized official.

NPPES Registry Identity

NPI1053495515
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NamePHOENIX SPECIALTYCARE, LLC
Location Address199 INTERSTATE DR, SUITE DRichland, MS 39218-4428
Mailing Address199 Interstate Dr, Suite DRichland, MS 39218-4428 · (601) 932-3815
Phone(601) 932-3815
Organization SubpartNo
Authorized OfficialRoland B WallManager · (601) 932-3815
Enumeration DateOctober 24, 2006
Last NPPES UpdateOctober 18, 2007
✔ NPI 1053495515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers
Taxonomy Code332BP3500X
199 INTERSTATE DR, Richland, MS 39218
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX HEALTHCARE, LLC
Durable Medical Equipment & Medical Supplies
199 INTERSTATE DR, SUITE U
RICHLAND, MS 39218
Rankin County (601) 932-3397

Frequently Asked Questions

What is PHOENIX SPECIALTYCARE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1053495515, enumerated as an "organization" on October 24, 2006.

Where is the provider located?

The provider is located at 199 INTERSTATE DR SUITE D RICHLAND, MS 39218 and the phone number is (601) 932-3815.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332BP3500X and a focus in Parenteral & Enteral Nutrition.