Organization · Type 2 NPI
Phoenix Group Homes, Inc.
Lodging Provider · New Richland, MN
NPI number
1003022518
Active
Practice location
20898 130th St
New Richland, MN 56072-3501
Fax (507) 465-9941
Mailing address
1011 Interlachen Pkwy
Woodbury, MN 55125-8852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | 1037125-3-DCFC (MN) |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1003022518
Phoenix Group Homes, Inc.'s National Provider Identifier is 1003022518, issued on May 14, 2007. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in New Richland, MN. The record was last updated on Aug 22, 2020.