Provider Demographics
NPI:1255923587
Name:WIND BENEATH YOUR WINGS, INC.
Entity type:Organization
Organization Name:WIND BENEATH YOUR WINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-862-8064
Mailing Address - Street 1:503 CLEARWATER DR
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:MI
Mailing Address - Zip Code:48872-8791
Mailing Address - Country:US
Mailing Address - Phone:517-862-8064
Mailing Address - Fax:
Practice Address - Street 1:503 CLEARWATER DR
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:MI
Practice Address - Zip Code:48872-8791
Practice Address - Country:US
Practice Address - Phone:517-862-8064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care