Organization
HEAVENLY ANGEL WINGS RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CRAWHORN (CEO)
(270) 250-4051
Entity
Organization
Contact information
Practice address
8404 KNIFLEY RD, COLUMBIA, KY 42728-7505
(270) 250-4051
Mailing address
8404 KNIFLEY RD, COLUMBIA, KY 42728-7505
(270) 250-4051
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
KY
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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