Organization · Type 2 NPI

Winghavenllc

Assisted Living Facility · O Fallon, MO

NPI number 1962531079 Active

Practice location

2002 Boardwalk Place Dr
O Fallon, MO 63368-3900

Fax (636) 561-5304

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2 other providers at this address

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About NPI 1962531079

Winghavenllc's National Provider Identifier is 1962531079, issued on Mar 5, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in O Fallon, MO. The record was last updated on Aug 22, 2020.