Wingspan Life Resources, NPI 1871641373
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Saint Paul, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1871641373
NPI Entity Type Organization
Provider Name Wingspan Life Resources
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 30 Plato Blvd E, Saint Paul, MN, US
Provider Mailing Address 30 Plato Blvd E, Saint Paul, MN, US, 551071809
Is Sole Proprietor? No
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Organization Official

Official Name MS. Therese G Davis
Official Position EXECUTIVE DIRECTOR
Phone 651-242-5840

Primary Taxonomy

Taxonomy Code

320600000X

Taxonomy Name Intellectual and/or Developmental Disabilities Residential Treatment Facility
Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Group

Residential Treatment Facilities

License No. HFID 01198
License State MN
Description A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Business Address

Wingspan Life Resources
30 Plato Blvd E

Saint Paul, MN, US

Phone: 651-242-5840

Mailing Address

Wingspan Life Resources
30 Plato Blvd E
Saint Paul, MN, US
ZIP 551071809
Phone: 651-242-5840
Fax: 651-646-2347

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

320600000X

Residential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

HFID 01287 MN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
014245000 MN ICFMR - 91ST STR 01
047148000 MN ICFMR - MARSHALL 01

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