Wayne Leroy Riley
Respite Care, Respite Care, Physical Disabilities, Child in Grand Forks, ND. Individual provider (NPI-1).
NPI number1043190812
StatusActive
Last updated in NPPESSep 3, 2025
Details
- NPI
- 1043190812
- Entity type
- Individual (NPI-1)
- Name
- Wayne Leroy Riley
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2025
- Certification date
- Sep 3, 2025
- Last updated
- Sep 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | ND | Yes |
Practice location
1628 Lewis BlvdGrand Forks, ND 58203-1639
Phone 701-740-0470
Mailing address
1628 Lewis BlvdGrand Forks, ND 58203-1639
Phone 701-740-0470
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