Organization
WINGS OF AN ANGEL INC
Active
Other names
Wings Of An Angel INC
Organization subpart
No
Provider details
NPI number
Authorized official
DENEZE M DOUGLAS (CEO)
(786) 985-0690
Entity
Organization
Contact information
Practice address
3600 S STATE ROAD 7 STE 21, MIRAMAR, FL 33023-5288
(754) 888-9074
(754) 888-9110
Mailing address
7957 ORLEANS ST, MIRAMAR, FL 33023-3561
(786) 985-0690
(754) 888-9175
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
24912
FL
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025122500
—
FL
05
—
101222400
—
FL
05
—
101375000
—
FL
05
—
111194600
—
FL
Enumeration date
06/20/2018
Last updated
10/15/2025
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