Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHOENIX RESIDENCE, INC.
Active OrganizationPHOENIX RESIDENCE, INC. is a ICF/Individuals with Intellectual Disabilities organization located in VADNAIS HEIGHTS, Nebraska. NPI 1134215700 is currently active in the NPPES registry. Verify at CMS.
ICF/Individuals with Intellectual Disabilities · VADNAIS HEIGHTS, NE
Registration Details
- NPI Number
- 1134215700
- Provider Type
- Organization
- NPI Issued
- Oct 4, 2006 (19.678402126869 yrs)
- Last Updated
- Jul 1, 2008
- License
-
805075 (MN)
Practice Information
- Address
-
785 E COUNTY ROAD EVADNAIS HEIGHTS, NE, 55127Browse NE providers · Browse ZIP 55127
- Phone
- 6514869342
- Fax
- 6514869349
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.