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

PHOENIX RESIDENCE INC

Active Organization

PHOENIX RESIDENCE INC is a ICF/Individuals with Intellectual Disabilities organization located in MAPLEWOOD, Minnesota. NPI 1245324920 is currently active in the NPPES registry. Verify at CMS.

ICF/Individuals with Intellectual Disabilities · MAPLEWOOD, MN

Registration Details

NPI Number
1245324920
Provider Type
Organization
NPI Issued
Oct 3, 2006 (19.892681475668 yrs)
Last Updated
Jul 2, 2008
License
800870 (MN)

Practice Information

Address
1866 FURNESS STREET
MAPLEWOOD, MN, 55109
Browse MN providers · Browse ZIP 55109
Phone
6517776349
Fax
6517799492

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.