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
1417053893
Provider Type
Organization
NPI Issued
Sep 15, 2006 (19.599917080265 yrs)
Last Updated
Jul 1, 2008
License
1032512 1RS (MN)

Practice Information

Address
1538 POINT DOUGLAS RD S
SAINT PAUL, MN, 551196006
Browse MN providers · Browse ZIP 55119
Phone
6517396930
Fax
6517391055

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.