PHOENIX INDEPENDENT LIVING INC

In Home Supportive Care

Active Organization
NPI: 1043179864

Practice Address

2810 53RD AVE APT B
Gulfport, MS 39501

Phone: (601) 596-3786

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X No -
In Home Supportive Care 253Z00000X Yes -

Frequently Asked Questions

NPI 1043179864 is the National Provider Identifier for PHOENIX INDEPENDENT LIVING INC, a In Home Supportive Care provider located in Gulfport, MS. This NPI was enumerated on January 17, 2026.

Quick Facts

NPI
1043179864
Type
Organization
Enumerated
Jan 17, 2026
Last Updated
Jan 17, 2026

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