Angel Wings Assisted Living, Inc

LBN: Angel Wings Assisted Living, Inc
Angel Wings Assisted Living, Inc is an health care organization with primary practice located at 86 Acr 3148 , Vernon AZ 85940. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Angel Wings Assisted Living, Inc can be contacted via phone (928) 242-5517, or through Felix, Audrey Lee via phone (928) 242-5517.

Contact Information

Primary practice address
86 Acr 3148 Vernon AZ 85940
Fax: (877) 581-4791
Website:
Authorized official contact:
Name: Felix, Audrey Lee

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X Arizona

Profile Details

NPI number 1043592496
LBN Legal business name Angel Wings Assisted Living, Inc
DBA Doing business as
Authorized official Felix, Audrey Lee
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2011
Last updated Mar 18th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043592496 NPPES
Arizona MEDICAID 657171
Arizona Other AL8533H

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