Provider Demographics
NPI:1114263076
Name:WEST WINGS INC
Entity Type:Organization
Organization Name:WEST WINGS INC
Other - Org Name:VISITNG ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:CYNTHIA
Authorized Official - Last Name:DEBOLSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-661-2850
Mailing Address - Street 1:40800 FIVE MILE RD
Mailing Address - Street 2:STE C
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-3749
Mailing Address - Country:US
Mailing Address - Phone:734-661-2850
Mailing Address - Fax:734-661-2851
Practice Address - Street 1:40800 FIVE MILE RD
Practice Address - Street 2:STE C
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-3749
Practice Address - Country:US
Practice Address - Phone:734-661-2850
Practice Address - Fax:734-661-2851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care