# ANGEL WINGS HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angel Wings Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538691704
- **Authorized official:** DONALD TAYLOR MCKINNIS (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (434) 836-8711

## Contact information

- **Practice address:** 2276 FRANKLIN TPKE, SUITE 104, DANVILLE, VA 24540-5284
- **Practice address phone:** (434) 836-8711
- **Mailing address:** 2276 FRANKLIN TPKE, SUITE 104, DANVILLE, VA 24540-5284
- **Mailing address phone:** (434) 836-8711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-17408 | VA | Yes |

## Other

- **Enumeration date:** 03/28/2017
- **Last updated:** 03/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0104115214 | — | VA |
| 05 | — | 0104148819 | — | VA |