Angel Wings Assisted Living, Inc
Organization Active NPI Assisted Living Facility · Vernon, AZ
NPI 1043592496 · NPPES record last updated Mar 18, 2012
Key facts
- NPI
- 1043592496
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- ANGEL WINGS ASSISTED LIVING, INC
- Practice address
- 86 Acr 3148
Vernon, AZ 85940 - Phone
- (928) 242-5517
- Fax
- (877) 581-4791
- NPI assigned
- Sep 12, 2011
- Organization subpart
- No
Authorized official
- Name
- Audrey Lee Felix
- Title
- Owner/Manager
- Phone
- (928) 242-5517
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AZ | Yes |
Addresses
Primary practice location
86 Acr 3148
Vernon, AZ 85940
Mailing address
PO Box 339
Vernon, AZ 85940-0339
Phone (928) 242-5517
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 657171 | Medicaid | AZ | |
| AL8533H | Other | AZ | DHS |
Other providers in Vernon, AZ
- Bannon Springs Ranch Christain Health Care
- Bannon Springs Ranch Christain Health Care
- Bannon Springs Ranch Christain Health Care
- Beacon Charities
- Pierce Herbert Goodman
All providers in Vernon, AZ · Assisted Living Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.