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Phoenix Residence, Inc.

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NPI Number Detailed Information

Provider Information:

Name: Phoenix Residence, Inc.
Gender:
Provider License Number If Given: 1032532 1 RS

NPI Information:

NPI: 1649376005
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 9/15/2006

Last Update Date: 7/1/2008

Provider Business Mailing Address:

Address: 330 MARIE AVE E
West St Paul, MN 55118
Phone Number: 6512277655
Fax Number: 6512276847

Provider Business Practice Location Address:

Address: 7717 LONG LAKE RD
Mounds View, MN 55112
Phone Number: 7633983812
Fax Number: 7633983813

Provider Taxonomy:

Primary: 315P00000X
Secondary (if any):
State: MN

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About Phoenix Residence, Inc.

Phoenix Residence, Inc. ( PHOENIX RESIDENCE, INC. ) is (1) Intermediate Care Facility, Mentally Retarded Provider in Mounds View, MN. The NPI Number for Phoenix Residence, Inc. is 1649376005.
The current location address for Phoenix Residence, Inc. is 7717 LONG LAKE RD Mounds View, MN 55112 and the contact number is 6512277655 and fax number is 6512276847. The mailing address for Phoenix Residence, Inc. is 330 MARIE AVE E West St Paul, MN 55118- 7633983812 (mailing address contact number - 6512277655).
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

Provider Business Location on Map

FAQs:

What is the NPI Number for Phoenix Residence, Inc. ?


Answer: The NPI Number for Phoenix Residence, Inc. is 1649376005

Where is Phoenix Residence, Inc. located?


Answer: Phoenix Residence, Inc. is located at 7717 LONG LAKE RD Mounds View, MN 55112.

What is the specialty for Phoenix Residence, Inc. ?


Answer: The Specialty of Phoenix Residence, Inc. is (1) Intermediate Care Facility, Mentally Retarded Provider.

Are there any online reviews for Phoenix Residence, Inc. ?


Answer: Not yet!

Are there any other health care providers in Mounds View, MN?


Answer: Yes, there are given below...

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Phoenix Residence, Inc. in Other Directories

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