Provider Demographics
NPI:1013571017
Name:WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC.
Entity Type:Organization
Organization Name:WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-971-0304
Mailing Address - Street 1:11022 N 28TH DR STE 205
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-5635
Mailing Address - Country:US
Mailing Address - Phone:602-971-0304
Mailing Address - Fax:602-971-0305
Practice Address - Street 1:11022 N 28TH DR STE 205
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-5635
Practice Address - Country:US
Practice Address - Phone:602-971-0304
Practice Address - Fax:602-971-0305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty