Angelwings

Organization Active NPI Custodial Care Facility · Bastrop, TX

NPI 1013142322 · NPPES record last updated May 17, 2009

Key facts

NPI
1013142322
Entity type
Organization (NPI type 2)
Primary specialty
Custodial Care Facility 311Z00000X
Legal business name
ANGELWINGS
Practice address
103 Reids BND
Bastrop, TX 78602-7687
Phone
(512) 636-7584
Fax
(512) 581-3993
NPI assigned
May 17, 2009
Organization subpart
No

Authorized official

Name
Mrs. Jane Elizabeth Wright
Title
Owner/Administrator
Phone
(512) 636-7584

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Yes

Addresses

Primary practice location

103 Reids BND
Bastrop, TX 78602-7687

Mailing address

103 Reids BND
Bastrop, TX 78602-7687
Phone (512) 636-7584

Other providers in Bastrop, TX

All providers in Bastrop, TX · Custodial Care Facility in Texas

Sources for this page

Verify at the official NPI Registry.