Phoenix is a Voluntary or Charitable Agency based in North Branch, MN. Phoenix practices in North Branch, MN. The NPI Number for Phoenix is 1972118438 and holds a License No. (Minnesota).
The current practice location address for Phoenix is 6697 Elm St, North Branch, MN and can be reached out via phone at 651-795-8759.
Location: 6697 Elm St, North Branch, MN, 55056-7045
Provider Profile Details
NPI Number
1972118438
Provider Name
Phoenix
Credential
Provider Entity Type
Organization
Address
6697 Elm St, North Branch, MN, 55056-7045
Phone Number
651-795-8759
Fax Number
Provider Enumeration Date
09/11/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
6697 Elm St
City
State
Zip
55056-7045
Phone Number
651-795-8759
Fax Number
Provider Business Mailing Address Details
Address
6697 Elm St
City
State
Zip
55056-7045
Phone Number
651-795-8759
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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