| NPI | 1073260329 |
|---|---|
| Former Legal Business Name | ANGEL WINGS HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | ANISA HARRIS Owner 702-772-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-10-02 |