PHOENIX RESIDENCE, INC.
Intermediate Care Facility, Intellectual Disabilities
Active
Organization
NPI: 1376649673
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities | 315P00000X | Yes | 1033704 1 RS (MN) |
Frequently Asked Questions
NPI 1376649673 is the National Provider Identifier for PHOENIX RESIDENCE, INC., a Intermediate Care Facility, Intellectual Disabilities provider located in Little Canada, MN. This NPI was enumerated on September 15, 2006.
Quick Facts
- NPI
- 1376649673
- Type
- Organization
- Enumerated
- Sep 15, 2006
- Last Updated
- Jul 1, 2008
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