Organization
ANGELS WITH BROKEN WINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER SHANNON CPSW (CEO)
(575) 288-8766
Entity
Organization
Contact information
Practice address
1705 E GRIGGS AVE, LAS CRUCES, NM 88001-2644
(575) 288-8766
Mailing address
PO BOX 14291, LAS CRUCES, NM 88013-4291
(575) 288-8766
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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