Wings Of Recovery - Non Residential

LBN: Wings Of Refuge, Inc
Wings Of Recovery - Non Residential is an health care organization with primary practice located at 38345 30Th St E Suite A-2, Palmdale CA 93550-4980. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Wings Of Refuge, Inc can be contacted via phone (661) 267-7124, or through Moncito, Renee via phone (310) 670-6767.

Contact Information

Primary practice address
38345 30Th St E Suite A-2 Palmdale CA 93550-4980
Phone: (661) 267-7124
Fax: (661) 267-1549
Website:
Map and Directions
Authorized official contact:
Name: Moncito, Renee
Phone: (310) 670-6767

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1225321524
LBN Legal business name Wings Of Refuge, Inc
DBA Doing business as Wings Of Recovery - Non Residential
Authorized official Moncito, Renee
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2011
Last updated May 18th, 2011 - about 13 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 1225321524 NPPES
Other 1649577206 DRUG MEDI-CAL
Other 1013213933 DRUG MEDI-CAL
Other 1386940211 DRUG MEDI-CAL
Other 1922304856 DRUG MEDI-CAL
Other 1720385883 DRUG MEDI-CAL

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