Organization
ANGELWINGS HEALTHCARE
Active
Other names
private senior providers etp
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SHERMAN (OWNER)
(816) 394-1868
Entity
Organization
Contact information
Practice address
1503 MAIN ST, GRANDVIEW, MO 64030-2538
(816) 394-1868
(877) 803-1868
Mailing address
1503 MAIN ST, GRANDVIEW, MO 64030
(816) 394-1867
(877) 803-1869
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LCO944539
MO
332B00000X
Durable Medical Equipment & Medical Supplies
LC0944539
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
LC0944539
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081423233
—
MO
Enumeration date
02/24/2009
Last updated
02/24/2009
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