Provider Demographics
NPI:1023275336
Name:NIGHTINGALE WINGS
Entity type:Organization
Organization Name:NIGHTINGALE WINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WEBBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-715-5333
Mailing Address - Street 1:PO BOX 306916
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-6916
Mailing Address - Country:US
Mailing Address - Phone:340-715-5333
Mailing Address - Fax:
Practice Address - Street 1:80 KRONPRINDSENS GADE
Practice Address - Street 2:SUITE 205
Practice Address - City:CHARLOTTE AMALIE
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-715-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI110051812007251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health