Organization
ANGEL WINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAROLAYN KELLER (OWNER)
(505) 312-8674
Entity
Organization
Contact information
Practice address
19 GARDEN PARK CIR NW, ALBUQUERQUE, NM 87107-2655
(505) 312-8674
Mailing address
19 GARDEN PARK CIR NW, ALBUQUERQUE, NM 87107-2655
(505) 312-8674
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2256
NM
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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