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Organization

WINGS OF AN ANGEL INC

Active
Parent organization
WINGS OF AN ANGEL INC
Other names
Wings of an Angel INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WINGS OF AN ANGEL INC
Authorized official
DENEZE M DOUGLAS (CEO)
(786) 985-0690
Entity
Organization

Contact information

Practice address
15098 72ND CIR, LOXAHATCHEE, FL 33470-3347
(786) 985-0690
(754) 888-9175
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
253Z00000X
In Home Supportive Care Agency
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/15/2021
Last updated
02/15/2021
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