Provider Demographics
NPI:1154712750
Name:WINGS OF LOVE SERVICES
Entity type:Organization
Organization Name:WINGS OF LOVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:JANON
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE-ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-789-8192
Mailing Address - Street 1:4130 LINDEN AVE STE 180
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45432-3058
Mailing Address - Country:US
Mailing Address - Phone:937-789-8192
Mailing Address - Fax:937-660-9504
Practice Address - Street 1:1654 MARDON DR
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-1949
Practice Address - Country:US
Practice Address - Phone:937-789-8192
Practice Address - Fax:937-660-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251E00000XAgenciesHome Health