NPI 1477212876 · live from the CMS NPI Registry
Angel Wings Assisted Llving Home Care LLC
Assisted Living Facility in Albuquerque, NM. National Provider Identifier 1477212876, active.
NPI record
| NPI | 1477212876 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Assisted Living Facility 310400000X |
| Practice location | 19 Garden Park Cir Nw, Albuquerque, NM 87107 |
| Practice phone | 505-312-8674 |
| Enumerated | December 13, 2021 |
| Last updated | December 13, 2021 |
| Authorized official | Gretchen Valencia, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based | 251G00000X | — |
| Assisted Living Facility primary | 310400000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.