Whalio Doctors

NPI 1134925951

Glorious Eagles LLC

Organisation Foster Care Agency Coon Rapids, MN

Practice location

Address
2119 110th Ln NW, Coon Rapids, MN 55433-4173
Phone
(651) 263-6291

Authorised official

Name
Samson Alayande
Title
President
Phone
(651) 263-6291

Registered specialties

Foster Care Agency Primary
Agencies Taxonomy 253J00000X

Registry record

NPI
1134925951
Entity type
Organization
NPI issued
21 Feb 2025
Record last updated
21 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.