NPI 1174958474

Heavenly Angel Wings Retirement Home

Organisation Physical Disabilities Residential Treatment Facility Columbia, KY

Practice location

Address: 8404 Knifley Rd, Columbia, KY 42728-7505
Phone: (270) 250-4051

Authorised official

Name: Charles Crawhorn
Title: Ceo
Phone: (270) 250-4051

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Kentucky →

Registry record

NPI: 1174958474
Entity type: Organization
NPI issued: 5 Sep 2013
Record last updated: 5 Sep 2013

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.