Organization
WINGS OF AN ANGEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI NICOLE BALLINGER (CEO)
(740) 244-3397
Entity
Organization
Contact information
Practice address
1354 OWENS RD W, MARION, OH 43302-8425
(740) 244-3397
Mailing address
1354 OWENS RD W, MARION, OH 43302-8425
(740) 244-3397
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187205
—
OH
Enumeration date
11/17/2016
Last updated
11/17/2016
Update your record
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