Organization
ANGELWINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE ELIZABETH WRIGHT (OWNER/ADMINISTRATOR)
(512) 636-7584
Entity
Organization
Contact information
Practice address
103 REIDS BND, BASTROP, TX 78602-7687
(512) 636-7584
(512) 581-3993
Mailing address
103 REIDS BND, BASTROP, TX 78602-7687
(512) 636-7584
(512) 581-3993
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
05/17/2009
Last updated
05/17/2009
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