PHS WOODBURY INC NPI 1588088322

NPI Information

PHS WOODBURY, INC is an assisted living facility in Woodbury, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PHS WOODBURY, INC NPI is 1588088322. The provider is registered as an organization entity type.
The provider Other Name Is Stonecrest.

The provider's business location address is:

8725 PROMENADE LN
WOODBURY, MN
ZIP 55125-622
Phone: (651) 264-3200

The provider's authorized official is Mark Meyer .
The authorized official title is Cfo and has the following contact phone number (651) 631-6120.

The CLIA number assigned to this NPI record is 24D2032762 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2014 and was last updated on 2/14/2014.

Taxonomy Codes

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Other Identifiers

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