# ANGEL WINGS HOME SERVICES & CASE MANAGEMENT AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043508591
- **Authorized official:** MS. JOYCE B. MOORE RN (DIRECTOR/CEO)
- **Authorized official phone:** (304) 720-2026

## Contact information

- **Practice address:** 517 C ST, SOUTH CHARLESTON, WV 25303-1251
- **Practice address phone:** (304) 720-2026
- **Practice address fax:** (304) 720-2027
- **Mailing address:** 517 C ST, SOUTH CHARLESTON, WV 25303-1251
- **Mailing address phone:** (304) 720-2026
- **Mailing address fax:** (304) 720-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 2254-3593 | WV | Yes |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 07/19/2011