Wingspan Life Resources

LBN: Wingspan Life Resources
Wingspan Life Resources is an health care organization with primary practice located at 30 Plato Blvd E , Saint Paul MN 55107-1809. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Wingspan Life Resources can be contacted via phone (651) 242-5840, or through Davis, Therese G via phone (651) 242-5840.

Contact Information

Primary practice address
30 Plato Blvd E Saint Paul MN 55107-1809
Phone: (651) 242-5840
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Therese G
Phone: (651) 242-5840

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X HFID 01198 Minnesota
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X HFID 01287 Minnesota

Profile Details

NPI number 1871641373
LBN Legal business name Wingspan Life Resources
DBA Doing business as
Authorized official Davis, Therese G
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 24th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871641373 NPPES
Minnesota Other 014245000 ICFMR - 91ST STR
Minnesota Other 047148000 ICFMR - 91ST STR

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