<Unavail>

LBN: Phoenix Residential Centers, Inc.
<Unavail> is an health care organization with primary practice located at 5278 Lockwood Rd , Madison OH 44057-2313. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Phoenix Residential Centers, Inc. can be contacted via phone (440) 428-0318, or through Jaskela, Mary Jo via phone (440) 428-9082.

Contact Information

Primary practice address
5278 Lockwood Rd Madison OH 44057-2313
Phone: (440) 428-0318
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jaskela, Mary Jo
Phone: (440) 428-9082

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1275873317
LBN Legal business name Phoenix Residential Centers, Inc.
DBA Doing business as <Unavail>
Authorized official Jaskela, Mary Jo
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2013
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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