Provider Demographics
NPI:1922505098
Name:WOMEN OF NATIONS
Entity Type:Organization
Organization Name:WOMEN OF NATIONS
Other - Org Name:EAGLES NEST SHELTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-251-1605
Mailing Address - Street 1:PO BOX 7125
Mailing Address - Street 2:
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55107
Mailing Address - Country:US
Mailing Address - Phone:651-251-1605
Mailing Address - Fax:651-222-1207
Practice Address - Street 1:73 LEECH STREET
Practice Address - Street 2:
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-251-1605
Practice Address - Fax:651-222-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility