Wings Of An Angel
Home Health in Saint Louis, MO. Organization (NPI-2).
NPI number1871069252
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1871069252
- Entity type
- Organization (NPI-2)
- Legal business name
- Wings Of An Angel
- Organization subpart
- No
- Enumeration date
- Oct 23, 2018
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
6420 Mount AveSaint Louis, MO 63121-5717
Phone 314-458-9602 · Fax 314-282-0158
Mailing address
6420 Mount AveSt. Louis, MO 63121
Phone 314-485-9602 · Fax 314-282-0158
Other practice locations
6420 Mount Ave
St. Louis, MO 63121
St. Louis, MO 63121
Phone 314-485-9602 · Fax 314-282-0158
Authorized official
Debra Wise
Sole/Owner
3142820158
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