Phoenix Service Corporation
NPI #1881645067 in West St Paul, Minnesota
Provider Information
- NPI Number
- 1881645067
- Entity Type
- Organization
- Organization Name
- Phoenix Service Corporation
- Primary Specialty
- Case Management
- Enumeration Date
- May 13, 2006
- Last Updated
- Jul 17, 2014
Practice Location
- Address
- 330 MARIE AVE E
- City
- West St Paul
- State
- Minnesota
- ZIP Code
- 55118-4011
- Phone
- (651) 227-7655
Authorized Official
- Name
- DARLENE M SCOTT
- Title
- PRESIDENT/CEO
- Phone
- (651) 227-7655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Nursing Care |
| Community/Behavioral Health |
| Case Management |
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