institution
The Phoenix Group, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Council Bluffs, Iowa
NPI 1518302801

The Phoenix Group, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Council Bluffs, IA. The Phoenix Group, Llc practices in Council Bluffs, IA. The NPI Number for The Phoenix Group, Llc is 1518302801 and holds a License No. 489DLC-456043 (Iowa).

The current practice location address for The Phoenix Group, Llc is 200 S 37Th St Apt F, Council Bluffs, IA and can be reached out via phone at 712-355-8665.

Location: 200 S 37Th St Apt F, Council Bluffs, IA, 51501-3284
institution
Provider Profile Details
NPI Number
1518302801
Provider Name
The Phoenix Group, Llc
Credential
Provider Entity Type
Organization
Address
200 S 37Th St Apt F, Council Bluffs, IA, 51501-3284
Phone Number
712-355-8665
Fax Number
Provider Enumeration Date
05/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 S 37Th St Apt F
City
State
Zip
51501-3284
Phone Number
712-355-8665
Fax Number
person
Provider Business Mailing Address Details
Address
200 S 37Th St Apt F
City
State
Zip
51501-3284
Phone Number
712-355-8665
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
489DLC-456043 (Iowa)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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