NPI 1093268104

Angel Wings

Organisation Assisted Living Facility Albuquerque, NM

Practice location

Address: 19 Garden Park Cir NW, Albuquerque, NM 87107-2655
Phone: (505) 312-8674

Authorised official

Name: Karolayn Keller
Title: Owner
Phone: (505) 312-8674

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 2256 (NM)

Other Assisted Living Facility providers in New Mexico →

Registry record

NPI: 1093268104
Entity type: Organization
NPI issued: 26 Jul 2016
Record last updated: 26 Jul 2016

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.