Phoenix Residence, Inc
Phoenix Residence, Inc is an Intellectual Disabilities Intermediate Care Facility in Little Canada, 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
645 Viking Dr ELittle Canada, MN 55117-1663
Phone: (651) 294-2076
Fax: (651) 294-2077
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 1033704 1 RS (MN) |
|---|
Record details
| NPI number | 1376649673 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Darlene Scott — President/Ceo · (651) 227-7655 |
| NPI enumerated | September 15, 2006 |
| Last updated in NPPES | July 1, 2008 |
| Mailing address | 330 Marie Ave E, West St Paul, MN 55118-4011 |