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Organization
PHOENIX HEALTH LLC
Active
Organization
PHOENIX HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR MOHAMUD (MANAGER)
(612) 298-3561
Entity
Organization
Contact information
Practice address
767 7TH ST NW, NEW BRIGHTON, MN 55112
(612) 298-3561
Mailing address
767 7TH ST NW, NEW BRIGHTON, MN 55112
(612) 298-3561
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
07/02/2026
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