Organization
ANGEL WINGS PERSONAL AND RESPITE CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOKHEN BATES (PRESIDENT/CEO)
(601) 324-3251
Entity
Organization
Contact information
Practice address
1011 PEARL RIVER AVENUE EXT, MCCOMB, MS 39648-8646
(601) 324-3251
(601) 324-3251
Mailing address
1011 PEARL RIVER AVENUE EXT, MCCOMB, MS 39648-8646
(601) 324-3251
(601) 324-3251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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