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Organization
ANGEL WINGS PERSONAL AND RESPITE CARE HOME
Active
Organization
ANGEL WINGS PERSONAL AND RESPITE CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOKHEN BATES (PRESIDENT/CEO)
(601) 324-3251
Entity
Organization
Contact information
Practice address
1011 PEARL RIVER AVENUE EXT, MCCOMB, MS 39648-8646
(601) 324-3251
(601) 324-3251
Mailing address
1011 PEARL RIVER AVENUE EXT, MCCOMB, MS 39648-8646
(601) 324-3251
(601) 324-3251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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