Organization
ANGEL WINGS CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL CALLIS M.ED, QMHP (CEO/DIRECTOR)
(540) 323-1561
Entity
Organization
Contact information
Practice address
3280 RIVERMONT DR, FRONT ROYAL, VA 22630-8224
(540) 323-1561
(540) 409-5262
Mailing address
3280 RIVERMONT DR, FRONT ROYAL, VA 22630-8224
(540) 323-1561
(540) 409-5262
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-1570
VA
251J00000X
Nursing Care Agency
HCO-1570
VA
343900000X
Non-emergency Medical Transport (VAN)
—
VA
385H00000X
Respite Care
HCO-1570
VA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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