Phoenix Group Homes, Inc.

NPI #1003022518 in New Richland, Minnesota

Provider Information

NPI Number
1003022518
Entity Type
Organization
Organization Name
Phoenix Group Homes, Inc.
Primary Specialty
Lodging
Enumeration Date
May 14, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
20898 130TH ST
ZIP Code
56072-3501
Phone
(507) 465-9940

Authorized Official

Name
WENDY J. SPARKS
Title
ASSISTANT DIRECTOR
Phone
(651) 230-0849

Specialties & Taxonomy Codes

Specialty
Lodging

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