Phoenix Residence, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1134215700

Phoenix Residence, Inc is an Intellectual Disabilities Intermediate Care Facility in Vadnais Heights, Nebraska. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in: MN
In the registry since: 2006

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

785 E County Rd E
Vadnais Heights, NE 55127
Phone: (651) 486-9342
Fax: (651) 486-9349

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary)	Taxonomy 315P00000X · Licence 805075 (MN)

Record details

NPI number	1134215700
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Darlene Scott — President/Ceo · (651) 227-7655
NPI enumerated	October 4, 2006
Last updated in NPPES	July 1, 2008
Mailing address	330 Marie Ave E, West St Paul, MN 55118-4011