NPI 1003022518

Phoenix Group Homes, INC.

Organisation Lodging Provider New Richland, MN

Practice location

Address: 20898 130th St, New Richland, MN 56072-3501
Phone: (507) 465-9940
Fax: (507) 465-9941
Mailing address: 1011 Interlachen Pkwy, Woodbury, MN 55125-8852

Authorised official

Name: Wendy J. Sparks
Title: Assistant Director
Phone: (651) 230-0849

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence 1037125-3-DCFC (MN)

Other Lodging providers in Minnesota →

Registry record

NPI: 1003022518
Entity type: Organization
NPI issued: 14 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.