Organization
WINGS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA VAN DEURZEN (SPECIAL EDUCATION COORDINATOR)
(414) 755-3248
Entity
Organization
Contact information
Practice address
1501 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 431-1356
(414) 431-1358
Mailing address
1501 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 431-1356
(414) 431-1358
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
046013
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6247
—
WI
Enumeration date
11/24/2009
Last updated
11/24/2009
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