Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHOENIX RESIDENCE, INC.
Active OrganizationICF/Individuals with Intellectual Disabilities · VADNAIS HEIGHTS, NE
Registration Details
- NPI Number
- 1134215700
- Provider Type
- Organization
- NPI Issued
- Oct 4, 2006 (19.552083467291 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.