Provider Demographics
NPI:1790211738
Name:ANGEL WINGS, INC.
Entity Type:Organization
Organization Name:ANGEL WINGS, INC.
Other - Org Name:VISITING ANGELS OF LYNCHBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:NORFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-439-4698
Mailing Address - Street 1:2900 OLD FOREST RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2335
Mailing Address - Country:US
Mailing Address - Phone:434-439-4698
Mailing Address - Fax:434-439-4733
Practice Address - Street 1:2900 OLD FOREST RD
Practice Address - Street 2:SUITE B
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2335
Practice Address - Country:US
Practice Address - Phone:434-439-4698
Practice Address - Fax:434-439-4733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171565251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health