Organization
ANGEL WINGS HOME CARE
Active
Other names
Angel Wings Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD TAYLOR MCKINNIS (CHIEF OPERATIONS OFFICER)
(434) 836-8711
Entity
Organization
Contact information
Practice address
2276 FRANKLIN TPKE, SUITE 104, DANVILLE, VA 24540-5284
(434) 836-8711
Mailing address
2276 FRANKLIN TPKE, SUITE 104, DANVILLE, VA 24540-5284
(434) 836-8711
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-17408
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104115214
—
VA
05
—
0104148819
—
VA
Enumeration date
03/28/2017
Last updated
03/28/2017
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