Phoenix 180 Housing LLC
Organization Active NPI Clinic/Center · Circle Pines, MN
NPI 1669162178 · NPPES record last updated May 9, 2023
Key facts
- NPI
- 1669162178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- PHOENIX 180 HOUSING LLC
- Practice address
- 9450 Lexington Ave N Apt 223
Circle Pines, MN 55014-1629 - Phone
- (480) 266-2247
- NPI assigned
- May 9, 2023
- Organization subpart
- No
Authorized official
- Name
- Chaltu Said
- Title
- Owner
- Phone
- (480) 266-2247
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
9450 Lexington Ave N Apt 223
Circle Pines, MN 55014-1629
Mailing address
9450 Lexington Ave N Apt 223
Circle Pines, MN 55014-1629
Other providers in Circle Pines, MN
- Nicole Leslie Oertel
- Robin Oslund
- Paul John Osterbauer
- Chelsey Maria Peterson
- Sarah Rebecca Phillips
- Phonjy Global LLC
- Rachel Krista Pilarski
- Power Massage LLC
- Kassandra Ralph
- Renovation Counseling, PLLC
All providers in Circle Pines, MN · Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2023. 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.