Provider Demographics
NPI:1740737733
Name:WINGS HOSPICE CARE LLC
Entity Type:Organization
Organization Name:WINGS HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-992-0895
Mailing Address - Street 1:4313 N 10TH ST STE G1
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3066
Mailing Address - Country:US
Mailing Address - Phone:956-992-0895
Mailing Address - Fax:956-992-8910
Practice Address - Street 1:4313 N 10TH ST STE G1
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3066
Practice Address - Country:US
Practice Address - Phone:956-992-0895
Practice Address - Fax:956-992-8910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based