1245324920 PHOENIX RESIDENCE INC
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- PHOENIX RESIDENCE INC
- Enumeration Date
- October 3, 2006
- Last Update
- July 2, 2008
- Authorized Official
- DARLENE M SCOTT
PRESIDENT CEO
Phone: (651) 227-7655
Practice Location
- Address
- 1866 FURNESS STREET
MAPLEWOOD, MN 55109 - Phone
- (651) 777-6349
- Fax
- (651) 779-9492
Mailing Address
- Address
- 330 MARIE AVENUE 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 | 800870 | MN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443545100 | 05 | MN | N/A |
Frequently Asked Questions
What is PHOENIX RESIDENCE INC's NPI number?
PHOENIX RESIDENCE INC's NPI number is 1245324920.
Which doctor has NPI number 1245324920?
The doctor with NPI number 1245324920 is PHOENIX RESIDENCE INC.
What is PHOENIX RESIDENCE INC's practice address?
PHOENIX RESIDENCE INC's practice address is 1866 FURNESS STREET, MAPLEWOOD, MN, 55109.
Which doctor practices at 1866 FURNESS STREET, MAPLEWOOD, MN, 55109?
PHOENIX RESIDENCE INC practices at 1866 FURNESS STREET, MAPLEWOOD, MN, 55109.
What is PHOENIX RESIDENCE INC's mailing address?
PHOENIX RESIDENCE INC's mailing address is 330 MARIE AVENUE E, WEST ST PAUL, MN, 551184011.
What is PHOENIX RESIDENCE INC's phone number?
PHOENIX RESIDENCE INC's phone number is (651) 777-6349.
Who is (651) 777-6349?
(651) 777-6349 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) 777-6349 to inquire about availability.
Is NPI 1245324920 still active?
Yes, NPI 1245324920 is currently active.
Where does PHOENIX RESIDENCE INC practice?
PHOENIX RESIDENCE INC practices in MAPLEWOOD, MN.