PHOENIX RESIDENCE INC is an intermediate care facility mentally retarded in Maplewood, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PHOENIX RESIDENCE INC NPI is 1245324920. The provider is registered as an organization entity type.
The provider's business location address is:
1866 FURNESS STREET
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 777-6349
Fax: (651) 779-9492
The provider's authorized official is Darlene M Scott .
The authorized official title is President Ceo and has the following contact phone number (651) 227-7655.
The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/2/2008.