Organization
WHITNEY'S WINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN SORENSON MS (AUTHORIZED OFFICIAL)
(218) 850-8030
Entity
Organization
Contact information
Practice address
50692 WYMER LAKE LOOP, FRAZEE, MN 56544-8984
(218) 850-8030
Mailing address
50692 WYMER LAKE LOOP, FRAZEE, MN 56544-8984
(218) 850-8030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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