Provider Demographics
NPI:1932613296
Name:ANGEL WINGS HOSPICE SERVICES LLC
Entity Type:Organization
Organization Name:ANGEL WINGS HOSPICE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT.ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-650-2875
Mailing Address - Street 1:923 W BUSINESS 83 STE B
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5840
Mailing Address - Country:US
Mailing Address - Phone:956-647-5261
Mailing Address - Fax:956-351-5313
Practice Address - Street 1:923 W BUSINESS 83 STE B
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5840
Practice Address - Country:US
Practice Address - Phone:956-647-5261
Practice Address - Fax:956-351-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-24
Last Update Date:2017-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based