License Number- 1069612
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Phoenix Residence Inc
Website- https://www.phoenixresidence.org/
Address- 435 Clinton Ave, Saint Paul, MN 55107-2299
County -Ramsey
Phone-(651) 224-8732
License Status- Active
License Holder -The Phoenix Residence, Inc.
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069611; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Ramsey County Community Human Services Dept
Initial Effective Date- 7/1/2014