Provider Demographics
NPI:1720503840
Name:PHEPHI SERVICES INC
Entity Type:Organization
Organization Name:PHEPHI SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUKIRWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-491-0439
Mailing Address - Street 1:1 MASS AVE
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-1317
Mailing Address - Country:US
Mailing Address - Phone:781-491-0439
Mailing Address - Fax:
Practice Address - Street 1:1 MASS AVE
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1317
Practice Address - Country:US
Practice Address - Phone:781-491-0439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA192332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies