Phoenix Residence, Inc
Phoenix Residence, Inc is an Intellectual Disabilities Intermediate Care Facility in Maplewood, Minnesota. 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.
Practice location Address checks out
2465 Carver AveMaplewood, MN 55119
Phone: (651) 702-8995
Fax: (651) 702-2511
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 1033706 1 RS (MN) |
|---|
Record details
| NPI number | 1134226509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Darlene Scott — President/Ceo · (651) 227-7655 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | July 1, 2008 |
| Mailing address | 330 Marie Ave E, West St Paul, MN 55118-4011 |
Other providers in Maplewood
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Dakota Communities, Inc
1951 Larpenteur Ave E, Maplewood, MN 55109-4705 · (651) 688-8808
-
Outcomes, Inc
2951 Bartelmy Ln, Maplewood, MN 55109-1574 · (651) 770-1296
-
Phoenix Residence Inc
1866 Furness St, Maplewood, MN 55109 · (651) 777-6349
-
Phoenix Residence, Inc
1685 Howard St, Maplewood, MN 55109 · (651) 777-6754