Taxonomy Code 315P00000X(315p00000x)
Intellectual Disabilities Intermediate Care Facility. Providers: 2

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Intellectual Disabilities Intermediate Care Facility Providers

NPI Name Type Address

1457458812

Phoenix Residence, Inc.

Organization

2168 12th Street

White Bear Lake, MN

1265596886

Axis Minnesota, Inc.

Organization

3516 White Bear Ave N

White Bear Lake, MN

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 315P00000X
Display Name Intellectual Disabilities Intermediate Care Facility
Taxonomy Group Nursing & Custodial Care Facilities
Taxonomy Classification Intermediate Care Facility, Intellectual Disabilities
Definition An intermediate care facility providing services for individuals with intellectual disabilities.
Effective Date September 30, 2009
Modification Date September 30, 2009
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