National Provider Identifier Database

ANGELS WITH BROKEN WINGS
Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

ANGELS WITH BROKEN WINGS
1705 E GRIGGS AVE
LAS CRUCES, NM88001-2644
Phone: 575-288-8766
Fax:
Website:
Specialty Taxonomy Code
* Lodging 177F00000X

* Indicates primary specialty

NPI Profile & details for ANGELS WITH BROKEN WINGS

NPI Number 1710619721
Legal business name
LBN
ANGELS WITH BROKEN WINGS
Authorized official GINGER SHANNON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/28/2022
Last updated 06/28/2022 - About 4 years 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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