Angelwings

NPI #1013142322 in Bastrop, Texas

Provider Information

NPI Number
1013142322
Entity Type
Organization
Organization Name
Angelwings
Primary Specialty
Custodial Care Facility
Enumeration Date
May 17, 2009
Last Updated
May 17, 2009

Practice Location

Address
103 REIDS BND
State
Texas
ZIP Code
78602-7687
Phone
(512) 636-7584

Authorized Official

Name
MRS. JANE ELIZABETH WRIGHT
Title
OWNER/ADMINISTRATOR
Phone
(512) 636-7584

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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