PHOENIX REHAB & MOBILITY
NPI 1366900391
Durable Medical Equipment & Medical Supplies - Customized Equipment in Woodbury, GA
Active since March 08, 2019
About Phoenix Rehab & Mobility NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIX REHAB & MOBILITY (NPI 1366900391) is a healthcare organization registered as a customized equipment in Woodbury, Georgia and active in the NPI registry since March 2019. The organization lists James Rogers, Ceo, as its authorized official.
NPPES Registry Identity
NPI1366900391
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameCUSTOM HEALTHCARE, LLC
Location Address410 DROMEDARY STWoodbury, GA 30293-3560
Mailing Address3700 Brainerd RdChattanooga, TN 37411-3603 · (423) 697-0057
Phone(770) 450-4227
Organization SubpartNo
Authorized OfficialJames RogersCeo · (423) 697-0057
Enumeration DateMarch 8, 2019
✔ NPI 1366900391 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
410 DROMEDARY ST, Woodbury, GA 30293
Other Names 1
Doing Business AsPhoenix Rehab & Mobility
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366900391, enumerated as an "organization" on March 08, 2019.
The provider is located at 410 DROMEDARY ST WOODBURY, GA 30293 and the phone number is (770) 450-4227.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.
