Organization · Type 2 NPI
Phoenix Group Homes, Inc.
Lodging Provider · Maplewood, MN
NPI number
1811100282
Active
Practice location
2371 Highwood Ave E
Maplewood, MN 55119-5801
Fax (651) 773-5894
Mailing address
1011 Interlachen Pkwy
Woodbury, MN 55125-8852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | 1037126-2-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.
Other lodging provider providers in Maplewood
About NPI 1811100282
Phoenix Group Homes, Inc.'s National Provider Identifier is 1811100282, issued on May 8, 2007. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Maplewood, MN. The record was last updated on Aug 22, 2020.