Organization
WINGS OF AN ANGEL INC
Active
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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