| NPI | 1033548359 |
|---|---|
| Former Legal Business Name | PHOENIX GROUP HOMES, INC. |
| Entity Type | Organization |
| Authorized Contact | WENDY JEAN SPARKS Finance Director 651-230-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: MN 1067243) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |