Organization
RESCARE MINNESOTA, INC.
Active
Other names
Phoenix Place
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A PANK (PARALEGAL)
(502) 394-2100
Entity
Organization
Contact information
Practice address
4835-4901 WEST BORADWAY AVENUE, CRYSTAL, MN 55429
(763) 537-6612
Mailing address
805 N. WHITTINGTON PKWY, SUITE 400, LOUISVILLE, KY 40222
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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