Organization
UNDER ANGEL WINGS CARE HOME L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH CASTILLO B.S. (CEO)
(602) 568-3714
Entity
Organization
Contact information
Practice address
18468 W MONTEROSA ST, GOODYEAR, AZ 85395-6457
(602) 568-3714
Mailing address
18468 W MONTEROSA ST, GOODYEAR, AZ 85395-6457
(602) 568-3714
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/15/2018
Last updated
09/15/2018
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