Phoenix 180 Housing LLC
NPI #1669162178 in Circle Pines, Minnesota
Provider Information
- NPI Number
- 1669162178
- Entity Type
- Organization
- Organization Name
- Phoenix 180 Housing LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 9, 2023
- Last Updated
- May 9, 2023
Practice Location
- Address
- 9450 LEXINGTON AVE N APT 223
- City
- Circle Pines
- State
- Minnesota
- ZIP Code
- 55014-1629
- Phone
- (480) 266-2247
Authorized Official
- Name
- CHALTU SAID
- Title
- OWNER
- Phone
- (480) 266-2247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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