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 · SAINT PAUL, MN

Registration Details

NPI Number
1144326513
Provider Type
Organization
NPI Issued
Sep 15, 2006 (19.599899872205 yrs)
Last Updated
Jul 1, 2008
License
1032513 1 RS (MN)

Practice Information

Address
1500 AMES AVE
SAINT PAUL, MN, 551067022
Browse MN providers · Browse ZIP 55106
Phone
6517740194
Fax
6517742074

Other ICF/Individuals with Intellectual Disabilities Organizations in SAINT PAUL, 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.