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Organization
GUARDIAN ANGEL HOME HEALTH AGENCY, INC.
Active
Organization
GUARDIAN ANGEL HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEG PONOMARENKO (CFO)
(805) 581-0244
Entity
Organization
Contact information
Practice address
980 ENCHANTED WAY STE 206, SIMI VALLEY, CA 93065-0913
(805) 581-0244
(805) 581-0286
Mailing address
980 ENCHANTED WAY STE 206, SIMI VALLEY, CA 93065-0913
(805) 581-0244
(805) 581-0286
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
050000588
CA
Other
Enumeration date
03/23/2006
Last updated
11/07/2022
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