Phoenix Residence, Inc.

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NPI Number Detailed Information

Provider Information:

Name:	Phoenix Residence, Inc.
Gender:
Provider License Number If Given:	1032511 1 RS

NPI Information:

NPI:	1457458812
Entity Type (Individual or Organization):	2-org
Enumeration Date:	9/20/2006
Last Update Date:	7/1/2008

Provider Business Mailing Address:

Address:	330 MARIE AVE E West St Paul, MN 55118
Phone Number:	6512277655
Fax Number:	6512276847

Provider Business Practice Location Address:

Address:	2168 12TH STREET White Bear Lake, MN 55110
Phone Number:	6516533713
Fax Number:	6516535784

Provider Taxonomy:

Primary:	315P00000X
Secondary (if any):
State:	MN

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About Phoenix Residence, Inc.

Phoenix Residence, Inc. ( PHOENIX RESIDENCE, INC. ) is (1) Intermediate Care Facility, Mentally Retarded Provider in White Bear Lake, MN. The NPI Number for Phoenix Residence, Inc. is 1457458812.

The current location address for Phoenix Residence, Inc. is 2168 12TH STREET White Bear Lake, MN 55110 and the contact number is 6512277655 and fax number is 6512276847. The mailing address for Phoenix Residence, Inc. is 330 MARIE AVE E West St Paul, MN 55118- 6516533713 (mailing address contact number - 6512277655).

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

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FAQs:

What is the NPI Number for Phoenix Residence, Inc. ?

Answer: The NPI Number for Phoenix Residence, Inc. is 1457458812

Where is Phoenix Residence, Inc. located?

Answer: Phoenix Residence, Inc. is located at 2168 12TH STREET White Bear Lake, MN 55110.

What is the specialty for Phoenix Residence, Inc. ?

Answer: The Specialty of Phoenix Residence, Inc. is (1) Intermediate Care Facility, Mentally Retarded Provider.

Are there any online reviews for Phoenix Residence, Inc. ?

Answer: Not yet!

Are there any other health care providers in White Bear Lake, MN?

Answer: Yes, there are given below...

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