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General NPI Number Information
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NPI Number | 1750433819
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Entity Type | Organization
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Legal Business Name | ANGEL WINGS HOME HEALTH CARE
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 1115 FRANKLIN TPKE SUITE 6
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City | DANVILLE
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State | VA
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Zip | 24540-1362
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Country | US
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Telephone | 434-770-8752
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 FRANKLIN TPKE SUITE 6
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City | DANVILLE
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State | VA
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Zip | 24540-1362
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Country | US
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Telephone | 434-770-8752
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, ADMINISTRATOR, DIRECTOR
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Name | MRS. JULIA ANN MCKINNIS
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Credential | RN
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Telephone | 434-770-8752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | VA
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