NPI 1013142322

Angelwings

Organisation Custodial Care Facility Bastrop, TX

Practice location

Address: 103 Reids Bnd, Bastrop, TX 78602-7687
Phone: (512) 636-7584
Fax: (512) 581-3993

Authorised official

Name: Jane Elizabeth Wright
Title: Owner/Administrator
Phone: (512) 636-7584

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

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Registry record

NPI: 1013142322
Entity type: Organization
NPI issued: 17 May 2009
Record last updated: 17 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.