PHOENIX RESIDENCE, INC. – Intellectual Disabilities Intermediate Care Facility, NPI 1649376005
Intellectual Disabilities Intermediate Care Facility
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Provider Addresses for PHOENIX RESIDENCE, INC.
7717, Long Lake Road, Mounds View, Ramsey County, Minnesota, 55112, United States
MOUNDS VIEW, MN 551126205
Phone: (763) 398-3812
Fax: (763) 398-3813
Type: Location
330, Marie Avenue East, West Saint Paul, Dakota County, Minnesota, 55118, United States
WEST ST PAUL, MN 551184011
Phone: (651) 227-7655
Fax: (651) 227-6847
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 55112)
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