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PHOENIX SERVICE CORPORATION

Case Management Agency

NPI: 1881645067Organization

Specialties, Licenses & Credentials

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320900000X

1014199-1-WS(MN)
Nursing Care Agency

Nursing Care

Code: 251J00000X

Community/Behavioral Health Agency

Community/Behavioral Health

Code: 251S00000X

1069741-1-HCBS(MN)
Case Management AgencyPrimary

Case Management

Code: 251B00000X

1069741-1-HCBS(MN)

Contact & Hours

Address
330 MARIE AVE E
WEST ST PAUL, MN 55118

Quick Facts

NPI
1881645067
Entity Type
Organization
Medicare
Not confirmed
Specialties
4
Locations
1

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