DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHOENIX RESIDENCE, INC.

Active Organization

ICF/Individuals with Intellectual Disabilities · MAPLEWOOD, MN

Registration Details

NPI Number
1134217037
Provider Type
Organization
NPI Issued
Oct 10, 2006 (19.531402539791 yrs)
Last Updated
Jul 1, 2008
License
801102 (MN)

Practice Information

Address
1685 HOWARD ST
MAPLEWOOD, MN, 55109
Browse MN providers · Browse ZIP 55109
Phone
6517776754
Fax
6517799339

Other ICF/Individuals with Intellectual Disabilities Organizations in MAPLEWOOD, MN

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.