Organization
THE W.I.N.G.S ADULT FAMILY HOME LLC
Active
Other names
The WINGS AFH
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WITHERSPOON (DIRECTOR)
(262) 321-8216
Entity
Organization
Contact information
Practice address
2804 ROSALIND AVE, RACINE, WI 53403-3760
(262) 456-0336
(262) 456-0336
Mailing address
PO BOX 85354, RACINE, WI 53408-5354
(262) 456-0336
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
09/04/2024
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