National Provider Identifier Database

ANGELS WING ADULT FAMILY HOME LLC
Adult Care Home

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.


Contact Information

ANGELS WING ADULT FAMILY HOME LLC
4718 N BOLIVAR CT
SPOKANE VALLEY, WA99216
Phone: 831-747-4130
Fax:
Website:
Specialty Taxonomy Code
* Adult Care Home 311ZA0620X

* Indicates primary specialty

NPI Profile & details for ANGELS WING ADULT FAMILY HOME LLC

NPI Number 1598636920
Legal business name
LBN
ANGELS WING ADULT FAMILY HOME LLC
Authorized official EPETI BRANDAU - (OWNER/PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 09/17/2025
Last updated 09/17/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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