Organization
AMHERST H. WILDER FOUNDATION
Active
Other names
Wilder Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BINGER (VICE PRESIDENT ADMINISTRATION)
(651) 642-4000
Entity
Organization
Contact information
Practice address
650 MARSHALL AVE, SAINT PAUL, MN 55104
(651) 290-8666
Mailing address
650 MARSHALL AVE, SAINT PAUL, MN 55104
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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