# WINGS SPEECH AND LANGUAGE CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356589071
- **Authorized official:** MRS. ANGELA BENES M.C., SLP-CCC (SPEECH PATHOLOGIST)
- **Authorized official phone:** (909) 390-1313

## Contact information

- **Practice address:** 4100 E. JURUPA ST., SUITE 108, ONTARIO, CA 91761
- **Practice address phone:** (909) 390-1313
- **Practice address fax:** (909) 390-1311
- **Mailing address:** 4100 E. JURUPA ST., SUITE 108, ONTARIO, CA 91761
- **Mailing address phone:** (909) 390-1313
- **Mailing address fax:** (909) 390-1311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | SP16940 | CA | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 04/12/2010