Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHOENIX RESIDENCE, INC.
Active OrganizationPHOENIX RESIDENCE, INC. is a ICF/Individuals with Intellectual Disabilities organization located in ARDEN HILLS, Minnesota. NPI 1811093206 is currently active in the NPPES registry. Verify at CMS.
ICF/Individuals with Intellectual Disabilities · ARDEN HILLS, MN
Registration Details
- NPI Number
- 1811093206
- Provider Type
- Organization
- NPI Issued
- Sep 15, 2006 (19.952931838171 yrs)
- Last Updated
- Jul 1, 2008
- License
-
1033705 1 RS (MN)
Practice Information
- Address
-
1769 JANET CTARDEN HILLS, MN, 551122861Browse MN providers · Browse ZIP 55112
- Phone
- 6512942074
- Fax
- 6512942075
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
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.