1144326513 PHOENIX RESIDENCE, INC.

Intellectual Disabilities Intermediate Care Facility

Active

Basic Information

Organization Name
PHOENIX RESIDENCE, INC.
Enumeration Date
September 15, 2006
Last Update
July 1, 2008
Authorized Official
DARLENE M SCOTT
PRESIDENT/CEO
Phone: (651) 227-7655

Practice Location

Address
1500 AMES AVE
SAINT PAUL, MN 551067022
Phone
(651) 774-0194
Fax
(651) 774-2074

Mailing Address

Address
330 MARIE AVE E
WEST ST PAUL, MN 551184011
Phone
(651) 227-7655
Fax
(651) 227-6847

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual Disabilities Intermediate Care Facility
 315P00000X Intermediate Care Facility, Intellectual Disabilities 1032513 1 RS MN Primary

Other Identifiers

Identifier Type State Issuer
181633100 05 MN N/A

Frequently Asked Questions

What is PHOENIX RESIDENCE, INC.'s NPI number?
PHOENIX RESIDENCE, INC.'s NPI number is 1144326513.
Which doctor has NPI number 1144326513?
The doctor with NPI number 1144326513 is PHOENIX RESIDENCE, INC..
What is PHOENIX RESIDENCE, INC.'s practice address?
PHOENIX RESIDENCE, INC.'s practice address is 1500 AMES AVE, SAINT PAUL, MN, 551067022.
Which doctor practices at 1500 AMES AVE, SAINT PAUL, MN, 551067022?
PHOENIX RESIDENCE, INC. practices at 1500 AMES AVE, SAINT PAUL, MN, 551067022.
What is PHOENIX RESIDENCE, INC.'s mailing address?
PHOENIX RESIDENCE, INC.'s mailing address is 330 MARIE AVE E, WEST ST PAUL, MN, 551184011.
What is PHOENIX RESIDENCE, INC.'s phone number?
PHOENIX RESIDENCE, INC.'s phone number is (651) 774-0194.
Who is (651) 774-0194?
(651) 774-0194 is the phone number for PHOENIX RESIDENCE, INC..
What is PHOENIX RESIDENCE, INC.'s specialty?
PHOENIX RESIDENCE, INC.'s specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is PHOENIX RESIDENCE, INC.?
PHOENIX RESIDENCE, INC. is a Intellectual Disabilities Intermediate Care Facility.
Is PHOENIX RESIDENCE, INC. a Intermediate Care Facility, Intellectual Disabilities?
Yes, PHOENIX RESIDENCE, INC. is a Intermediate Care Facility, Intellectual Disabilities.
Is PHOENIX RESIDENCE, INC. still practicing?
Yes, PHOENIX RESIDENCE, INC. is currently practicing.
Is PHOENIX RESIDENCE, INC. accepting new patients?
PHOENIX RESIDENCE, INC. may be accepting new patients. Please call their office at (651) 774-0194 to inquire about availability.
Is NPI 1144326513 still active?
Yes, NPI 1144326513 is currently active.
Where does PHOENIX RESIDENCE, INC. practice?
PHOENIX RESIDENCE, INC. practices in SAINT PAUL, MN.