# ANGELWINGS COORDINATED CARE LLC

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

## Provider details

- **NPI number:** 1184774291
- **Authorized official:** SHARON L BEATY (OWNER)
- **Authorized official phone:** (505) 539-2227

## Contact information

- **Practice address:** HC 61, BOX 416 QUAIL DRIVE, GLENWOOD, NM 88039
- **Practice address phone:** (505) 539-2227
- **Practice address fax:** (505) 539-2225
- **Mailing address:** HC 61, BOX 416 QUAIL DRIVE, GLENWOOD, NM 88039
- **Mailing address phone:** (505) 539-2227
- **Mailing address fax:** (505) 539-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/22/2020