Organization
PHOENIX CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI RAGE (AGENCY DIRECTOR)
(612) 407-8681
Entity
Organization
Contact information
Practice address
888 COUNTY ROAD D W STE 108, NEW BRIGHTON, MN 55112-8519
(612) 407-8681
Mailing address
888 COUNTY ROAD D W STE 108, NEW BRIGHTON, MN 55112-8519
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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