Phoenix Specialtycare, Llc
Parenteral & Enteral Nutrition
199 Interstate Dr, Suite D, Richland
Mississippi, 39218-4428
601-932-3815 Phoenix Specialtycare, Llc is a Parenteral & Enteral Nutrition in Richland, Mississippi. It is located at 199 Interstate Dr, Suite D, Richland and it's customer support contact number is 601-932-3815. The authorized person of Phoenix Specialtycare, Llc is Mr. Roland B Wall Iii who is Manager of this DME and his contact number is 601-932-3815.
Phoenix Specialtycare, Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Phoenix Specialtycare, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Phoenix Specialtycare, Llc |
| Type: | Parenteral & Enteral Nutrition |
| Location: | 199 Interstate Dr, Suite D, Richland,
Mississippi, 39218-4428 |
| Phone: | 601-932-3815 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Roland B Wall Iii |
| Position: | Manager |
| Contact Number: | 601-932-3815 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1053495515 |
| NPI Enumeration Date: | 24 Oct, 2006 |
| NPI Last Update On: | 18 Oct, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phoenix Specialtycare, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Parenteral & Enteral Nutrition | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 199 Interstate Dr, Suite D
Richland, Mississippi |
| Zip: | 39218-4428 |
| Phone Number: | 601-932-3815 |
Patients can reach Phoenix Specialtycare, Llc at
199 Interstate Dr, Suite D, Richland, Mississippi or can
call on customer care at 601-932-3815.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.