# ANGELS WING ADULT FAMILY HOME LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1598636920
- **Authorized official:** EPETI BRANDAU CNA (OWNER/PROVIDER)
- **Authorized official phone:** (831) 747-4130

## Contact information

- **Practice address:** 4718 N BOLIVAR CT, SPOKANE VALLEY, WA 99216
- **Practice address phone:** (831) 747-4130
- **Mailing address:** PO BOX 48727, SPOKANE, WA 99228-1727
- **Mailing address phone:** (831) 747-4130
- **Mailing address fax:** (509) 418-2092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2025
- **Last updated:** 09/17/2025