Organization
PHOENIX RECOVERY PROGRAMS, INC.
Active
Other names
Phoenix Group Homes, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY JEAN SPARKS (FINANCE DIRECTOR)
(651) 230-0849
Entity
Organization
Contact information
Practice address
9888 340TH AVE, WASECA, MN 56093-5011
(507) 385-0668
(651) 282-0579
Mailing address
9888 340TH AVE, WASECA, MN 56093-5011
(507) 385-0668
(651) 282-0579
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1067243
MN
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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