Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AXIS MINNESOTA, INC.
Active OrganizationICF/Individuals with Intellectual Disabilities · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1265596886
- Provider Type
- Organization
- NPI Issued
- Dec 20, 2006 (19.336705846887 yrs)
- Last Updated
- Aug 22, 2020
- License
-
1028070-1-RS (MN)
Practice Information
- Address
-
3516 WHITE BEAR AVE NWHITE BEAR LAKE, MN, 551105419Browse MN providers · Browse ZIP 55110
- Phone
- 6517745940
- Fax
- 6517748126
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Other ICF/Individuals with Intellectual Disabilities Organizations in WHITE BEAR LAKE, MN
| Name | NPI |
|---|---|
| PHOENIX RESIDENCE, INC. | 1457458812 |
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.