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Phoenix Residential Centers, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mentor, Ohio
NPI 1821429267

Phoenix Residential Centers, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Madison, OH. Phoenix Residential Centers, Inc. practices in Mentor, OH. The NPI Number for Phoenix Residential Centers, Inc. is 1821429267 and holds a License No. (Ohio).

The current practice location address for Phoenix Residential Centers, Inc. is 5422 W Heisley Rd, Mentor, OH and can be reached out via phone at 440-352-1105. You can also correspond with Phoenix Residential Centers, Inc. through the mailing address at PO BOX 40, MADISON, OH - 44057-0040 (mailing address contact number: 440-428-9082).

Location: 5422 W Heisley Rd, Mentor, OH, 44057-0040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821429267
Provider Name
Phoenix Residential Centers, Inc.
Credential
Provider Entity Type
Organization
Address
5422 W Heisley Rd, Mentor, OH, 44057-0040
Phone Number
440-352-1105
Fax Number
Provider Enumeration Date
12/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5422 W Heisley Rd
City
Mentor
State
Ohio
Zip
44060-1751
Phone Number
440-352-1105
Fax Number
person
Provider Business Mailing Address Details
Address
5422 W Heisley Rd
City
Mentor
State
Ohio
Zip
44060-1751
Phone Number
440-352-1105
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
320900000X
License No.
()
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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