Angel Wings Home Services & Case Management Agency, LLC
In Home Supportive Care in South Charleston, WV. Organization (NPI-2).
NPI number1043508591
StatusActive
Last updated in NPPESJul 19, 2011
Details
- NPI
- 1043508591
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Wings Home Services & Case Management Agency, LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2011
- Last updated
- Jul 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | 2254-3593 | WV | Yes |
Practice location
517 C StSouth Charleston, WV 25303-1251
Phone 304-720-2026 · Fax 304-720-2027
Mailing address
517 C StSouth Charleston, WV 25303-1251
Phone 304-720-2026 · Fax 304-720-2027
Authorized official
Joyce B. Moore
Director/Ceo
3047202026
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All 6 In Home Supportive Care Agency providers in South Charleston · All 2,788 providers in South Charleston
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