PHOENIX RESIDENCE, INC. is an intermediate care facility mentally retarded in Saint Paul, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PHOENIX RESIDENCE, INC. NPI is 1144326513. The provider is registered as an organization entity type.
The provider's business location address is:
1500 AMES AVE
SAINT PAUL, MN
ZIP 55106-022
Phone: (651) 774-0194
Fax: (651) 774-2074
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 9/15/2006 and was last updated on 7/1/2008.