Organization
ANGEL WINGS CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL CALLIS M.ED, QMHP (CEO)
(540) 323-1561
Entity
Organization
Contact information
Practice address
3280 RIVERMONT DR, FRONT ROYAL, VA 22630-8224
(540) 323-1561
Mailing address
3280 RIVERMONT DR, FRONT ROYAL, VA 22630-8224
(540) 323-1561
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HCO-1570
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCO-1570
—
VA
Enumeration date
06/25/2018
Last updated
06/25/2018
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