Wingspan Life Resources in Saint Paul - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Wingspan Life Resources - NPI 1871641373
Wingspan Life Resources is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Saint Paul, Minnesota. Wingspan Life Resources practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Wingspan Life Resources is 1871641373. The last update date is 2019-06-24.
Wingspan Life Resources's current location address is 30 Plato Blvd E, Saint Paul, Minnesota. You can contact this provider via phone number 6512425840 and fax number 6516462347. The mailing address for Wingspan Life Resources is 30 Plato Blvd E, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wingspan Life Resources |
|---|---|
| Address | 30 Plato Blvd E, Saint Paul, Minnesota |
| Phone Number | 6512425840 |
| Fax Number | 6516462347 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Davis G Therese |
| Telephone Number | 6512425840 |
NPI Number Detail
| NPI Number | 1871641373 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2019-06-24 |
Provider Mailing Address Detail
| Address | 30 Plato Blvd E |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551071809 |
| Phone Number | 6512425840 |
| Fax Number | 6516462347 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | HFID 01287 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14245000 | MN | ICFMR - 91ST STR | |
| 47148000 | MN | ICFMR - MARSHALL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wingspan Life Resources by the Centers for Medicare & Medicaid Services?
The Wingspan Life Resources has been assigned the NPI (National Provider Identifier) 1871641373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Wingspan Life Resources is physically located?
The Wingspan Life Resources is physically situated at the following address: 30 Plato Blvd E, Saint Paul, MN, 551071809.
What is Wingspan Life Resources's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wingspan Life Resources's specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
On what date did the Wingspan Life Resources receive its 1871641373 assignment from the Centers for Medicare & Medicaid Services?
The Wingspan Life Resources was assigned its 1871641373 by the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date were the details pertaining to Wingspan Life Resources last refreshed?
The information related to the Wingspan Life Resources, including its address, specialty, and other relevant details, was last updated on 2019-06-24.
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