1457458812 PHOENIX RESIDENCE, INC.

Intellectual Disabilities Intermediate Care Facility

Active

Basic Information

Organization Name
PHOENIX RESIDENCE, INC.
Enumeration Date
September 20, 2006
Last Update
July 1, 2008
Authorized Official
DARLENE M SCOTT
PRESIDENT/CEO
Phone: (651) 227-7655

Practice Location

Address
2168 12TH STREET
WHITE BEAR LAKE, MN 55110
Phone
(651) 653-3713
Fax
(651) 653-5784

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 1032511 1 RS MN Primary

Other Identifiers

Identifier Type State Issuer
714417200 05 MN N/A

Frequently Asked Questions

What is PHOENIX RESIDENCE, INC.'s NPI number?
PHOENIX RESIDENCE, INC.'s NPI number is 1457458812.
Which doctor has NPI number 1457458812?
The doctor with NPI number 1457458812 is PHOENIX RESIDENCE, INC..
What is PHOENIX RESIDENCE, INC.'s practice address?
PHOENIX RESIDENCE, INC.'s practice address is 2168 12TH STREET, WHITE BEAR LAKE, MN, 55110.
Which doctor practices at 2168 12TH STREET, WHITE BEAR LAKE, MN, 55110?
PHOENIX RESIDENCE, INC. practices at 2168 12TH STREET, WHITE BEAR LAKE, MN, 55110.
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) 653-3713.
Who is (651) 653-3713?
(651) 653-3713 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) 653-3713 to inquire about availability.
Is NPI 1457458812 still active?
Yes, NPI 1457458812 is currently active.
Where does PHOENIX RESIDENCE, INC. practice?
PHOENIX RESIDENCE, INC. practices in WHITE BEAR LAKE, MN.