# GUARDIAN ANGEL HOME HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215488192
- **Authorized official:** DIXIE LEIGH THOMPSON RN (OWNER/PRESIDENT)
- **Authorized official phone:** 50055649002

## Contact information

- **Practice address:** 2800 HUTTON AVE, FARMINGTON, NM 87402-4560
- **Practice address phone:** (505) 564-9002
- **Practice address fax:** (505) 564-9022
- **Mailing address:** PO BOX 3590, FARMINGTON, NM 87499-3590
- **Mailing address phone:** (505) 564-9002
- **Mailing address fax:** (505) 564-9022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 3132 | NM | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 10/17/2016