The Phoenix Group, LLC
The Phoenix Group, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Council Bluffs, Iowa. Licensed in Iowa. Registered with an NPI since 2013.
- Licensed in
- IA
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
200 S 37th St Apt FCouncil Bluffs, IA 51501-3284
Phone: (712) 355-8665
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 and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 489DLC-456043 (IA) |
|---|
Record details
| NPI number | 1518302801 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith McMillen — Operations Director · (712) 355-8665 |
| Other names | The Phoenix Group |
| NPI enumerated | May 1, 2013 |
| Last updated in NPPES | July 9, 2014 |
| Mailing address | 200 S 37th St Apt F, Council Bluffs, IA 51501-3284 |
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