Phoenix Recovery Programs, Inc.
Organization Active NPI Foster Care Agency · Waseca, MN
NPI 1033548359 · NPPES record last updated Nov 6, 2013
Key facts
- NPI
- 1033548359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foster Care Agency 253J00000X
- License
- 1067243 (MN)
- Legal business name
- PHOENIX RECOVERY PROGRAMS, INC.
- Practice address
- 9888 340TH Ave
Waseca, MN 56093-5011 - Phone
- (507) 385-0668
- Fax
- (651) 282-0579
- NPI assigned
- Nov 6, 2013
- Organization subpart
- No
Authorized official
- Name
- Wendy Jean Sparks
- Title
- Finance Director
- Phone
- (651) 230-0849
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Phoenix Recovery Programs Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 1067243 | MN | Yes |
Addresses
Primary practice location
9888 340TH Ave
Waseca, MN 56093-5011
Mailing address
9888 340TH Ave
Waseca, MN 56093-5011
Phone (507) 385-0668
Other names
- Phoenix Group Homes, Inc.
Other providers in Waseca, MN
- Todd Adrian Nelson
- Tiffany O'Malley
- Austin Ostrander
- Chastity Pautzke
- Craig Albert Peterson
- Paige Pittmann
- David A Pope
- Rachel'S Light
- Kelsey Nicole Raddawi
- Indira Raub
All providers in Waseca, MN · Foster Care Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.