1649376005 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
SCOTT M DARLENE
PRESIDENT/CEO
Phone: (651) 227-7655

Practice Location

Address
7717 LONG LAKE RD
MOUNDS VIEW, MN 551126205
Phone
(763) 398-3812
Fax
(763) 398-3813

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 1032532 1 RS MN Primary

Other Identifiers

Identifier Type State Issuer
355474100 05 MN N/A

Frequently Asked Questions

What is PHOENIX RESIDENCE, INC.'s NPI number?
PHOENIX RESIDENCE, INC.'s NPI number is 1649376005.
Which doctor has NPI number 1649376005?
The doctor with NPI number 1649376005 is PHOENIX RESIDENCE, INC..
What is PHOENIX RESIDENCE, INC.'s practice address?
PHOENIX RESIDENCE, INC.'s practice address is 7717 LONG LAKE RD, MOUNDS VIEW, MN, 551126205.
Which doctor practices at 7717 LONG LAKE RD, MOUNDS VIEW, MN, 551126205?
PHOENIX RESIDENCE, INC. practices at 7717 LONG LAKE RD, MOUNDS VIEW, MN, 551126205.
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 (763) 398-3812.
Who is (763) 398-3812?
(763) 398-3812 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 (763) 398-3812 to inquire about availability.
Is NPI 1649376005 still active?
Yes, NPI 1649376005 is currently active.
Where does PHOENIX RESIDENCE, INC. practice?
PHOENIX RESIDENCE, INC. practices in MOUNDS VIEW, MN.