Phoenix Residential Centers, Inc.

NPI 1275873317 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1275873317
Enumeration Date 02/27/2013
Last Updated 02/27/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARY JO MARY JO
Position CONTROLLER
Phone (440) 428-0318
Fax
Practice Location
5278 LOCKWOOD RD
MADISON OH, 44057-2313, US
Phone (440) 428-0318
Fax
Business Location
1954 HUBBARD RD
P.O. BOX 40
MADISON OH, 44057-2172, US
Phone (440) 428-9082
Fax (440) 428-5399
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Phoenix Residential Centers, Inc. NPI is 1275873317, taxonomy code is 320900000X Phoenix Residential Centers, Inc. physically located at 5278 Lockwood Rd, Madison OH, 44057-2313. NPI Number 1033115704 has the healthcare provider type.

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1275873317 NPI number is provided on an as is basis without warranty of any kind. 1275873317 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Residential Centers, Inc. are for informational purposes only.