Organization · Type 2 NPI
Phoenix Residence, Inc.
Intellectual Disabilities Intermediate Care Facility · St. Paul, MN
NPI number
1144326513
Active
Practice location
1500 Ames Ave
St. Paul, MN 55106-7022
Fax (651) 774-2074
Mailing address
330 Marie Ave E
West St. Paul, MN 55118-4011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 1032513 1 RS (MN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in St. Paul
- Axis Minnesota, Inc.Intellectual Disabilities Intermediate Care Facility St. Paul, MN NPI 1134283518
- Phoenix Residence, Inc.Intellectual Disabilities Intermediate Care Facility St. Paul, MN NPI 1417053893
- Our House of Minnesota, Inc.Intellectual Disabilities Intermediate Care Facility St. Paul, MN NPI 1568563898
- Our House of Minnesota, Inc. IIntellectual Disabilities Intermediate Care Facility St. Paul, MN NPI 1750467577
About NPI 1144326513
Phoenix Residence, Inc.'s National Provider Identifier is 1144326513, issued on Sep 15, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 1, 2008.