| Phoenix Group Homes, Inc. | |
|
227 E Main St Suite 105 Mankato MN 56001-7732 | |
| (507) 385-0668 | |
| (507) 385-0020 |
| Full Name | Phoenix Group Homes, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 227 E Main St, Mankato, Minnesota |
| Authorized Official Name and Position | Howard L. Meier (DIRECTOR) |
| Authorized Official Contact | 6512301895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Group Homes, Inc. 1011 Interlachen Pkwy Woodbury MN 55125-8852 Ph: (651) 230-0849 | Phoenix Group Homes, Inc. 227 E Main St Suite 105 Mankato MN 56001-7732 Ph: (507) 385-0668 |
| NPI Number | 1164675344 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164675344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1050058-1-CDT (Minnesota) | Primary |
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