Individual
ANGELA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3116 VAIL PASS DR, COLORADO SPRINGS, CO 80917-4301
(214) 554-1798
Mailing address
3116 VAIL PASS DR, COLORADO SPRINGS, CO 80917-4301
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60054
AETNA
—
01
—
LGG818
BLUE CROSS BLUE SHIELD INSURANCE
—
Enumeration date
03/22/2017
Last updated
03/22/2017
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