Organization
RESCARE MINNESOTA, INC.
Active
Other names
Phoenix Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A PANK (PARALEGAL)
(502) 420-2666
Entity
Organization
Contact information
Practice address
1201 DUPONT AVE N, MINNEAPOLIS, MN 55411-4089
(763) 537-6612
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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