Whalio Doctors

NPI 1871641373

Wingspan Life Resources

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Saint Paul, MN

Practice location

Address
30 Plato Blvd E, Saint Paul, MN 55107-1809
Phone
(651) 242-5840

Authorised official

Name
Therese G Davis
Title
Executive Director
Phone
(651) 242-5840

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence HFID 01198 (MN)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence HFID 01287 (MN)

Registry record

NPI
1871641373
Entity type
Organization
NPI issued
8 Jan 2007
Record last updated
24 Jun 2019

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.