OrganizationActive
Phoenix Group Homes, Inc.
NPI 1003022518 · Lodging Provider · New Richland, MN
Provider details
- NPI number
- 1003022518
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Wendy Sparks, Assistant Director(651) 230-0849
- License
- 1037125-3-DCFC (MN)
Specialties & taxonomies
Other Service Providers
Practice location
20898 130th St
New Richland, MN 56072-3501
Phone: (507) 465-9940
Fax: (507) 465-9941
Approximate (ZIP-level) locationGet directions
Mailing address
1011 Interlachen Pkwy
Woodbury, MN 55125-8852
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.