Organization
ANGEL WINGS NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TARESS BOLDEN (DIRECTOR)
(314) 437-9521
Entity
Organization
Contact information
Practice address
320 BROOKES DR, 200, HAZELWOOD, MO 63042-2736
(314) 942-2994
Mailing address
320 BROOKES DR, 200, HAZELWOOD, MO 63042-2736
(314) 942-2994
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
LC1357020
MO
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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