Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHOENIX RESIDENCE, INC.
Active OrganizationICF/Individuals with Intellectual Disabilities · MOUNDS VIEW, MN
Registration Details
- NPI Number
- 1649376005
- Provider Type
- Organization
- NPI Issued
- Sep 15, 2006 (19.600136507965 yrs)
- Last Updated
- Jul 1, 2008
- License
-
1032532 1 RS (MN)
Practice Information
- Address
-
7717 LONG LAKE RDMOUNDS VIEW, MN, 551126205Browse MN providers · Browse ZIP 55112
- Phone
- 7633983812
- Fax
- 7633983813
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Other ICF/Individuals with Intellectual Disabilities Organizations in MOUNDS VIEW, MN
| Name | NPI |
|---|---|
| AXIS MINNESOTA, INC. | 1477617009 |
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.