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
1134226509
Provider Type
Organization
NPI Issued
Sep 20, 2006 (19.586203497489 yrs)
Last Updated
Jul 1, 2008
License
1033706 1 RS (MN)

Practice Information

Address
2465 CARVER AVE
MAPLEWOOD, MN, 55119
Browse MN providers · Browse ZIP 55119
Phone
6517028995
Fax
6517022511

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.