Amherst H. Wilder Foundation
Assisted Living Facility in Saint Paul, MN. Organization (NPI-2).
NPI number1023176286
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1023176286
- Entity type
- Organization (NPI-2)
- Legal business name
- Amherst H. Wilder Foundation
- Organization subpart
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Assisted Living Ravoux (Doing Business As)
Practice location
280 Ravoux StSaint Paul, MN 55103
Phone 651-227-6853
Mailing address
650 Marshall AveSaint Paul, MN 55104-6644
Authorized official
Craig Binger
Vice President Administration
6516424000
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