Angel Wings Group Home in Goldsboro - Assisted Living, Mental Illness
Angel Wings Group Home - NPI 1659549418
Angel Wings Group Home is a Assisted Living, Mental Illness in Goldsboro, North Carolina. Angel Wings Group Home practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Angel Wings Group Home is 1659549418. The last update date is 2008-02-14.
Angel Wings Group Home's current location address is 140 Country Run Ln, Goldsboro, North Carolina. You can contact this provider via phone number 9197360059 and fax number 9197360059. The mailing address for Angel Wings Group Home is 140 Country Run Ln, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Angel Wings Group Home |
|---|---|
| Address | 140 Country Run Ln, Goldsboro, North Carolina |
| Phone Number | 9197360059 |
| Fax Number | 9197360059 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Barwick W Lisa |
| Telephone Number | 9195818285 |
NPI Number Detail
| NPI Number | 1659549418 |
|---|---|
| Provider Enumeration Date | 2008-02-14 |
| Last Updated Date | 2008-02-14 |
Provider Mailing Address Detail
| Address | 140 Country Run Ln |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275308901 |
| Phone Number | 9197360059 |
| Fax Number | 9197360059 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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What is the unique 10-digit identifier code assigned to Angel Wings Group Home by the Centers for Medicare & Medicaid Services?
The Angel Wings Group Home has been issued the NPI (National Provider Identifier) 1659549418 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Angel Wings Group Home is physically located?
The Angel Wings Group Home is situated at the following address: 140 Country Run Ln, Goldsboro, NC 275308901.
What is Angel Wings Group Home's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Angel Wings Group Home is Assisted Living, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 3104A0625X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659549418 to Angel Wings Group Home?
The Angel Wings Group Home received its 1659549418 assignment from the Centers for Medicare & Medicaid Services on 2008-02-14.
As of what date were the details related to Angel Wings Group Home most recently updated or revised?
The information pertaining to Angel Wings Group Home, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-14.
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