# GUARDIAN ANGELS IN HOME SERVICES, LLC

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

## Provider details

- **NPI number:** 1255602678
- **Authorized official:** CARRIE HARRIS (CEO)
- **Authorized official phone:** (573) 204-3800

## Contact information

- **Practice address:** 1335 OLD CAPE RD, SUITE F, JACKSON, MO 63755-2268
- **Practice address phone:** (573) 204-3800
- **Practice address fax:** (573) 204-3888
- **Mailing address:** 1335 OLD CAPE RD, SUITE F, JACKSON, MO 63755-2268
- **Mailing address phone:** (573) 204-3800
- **Mailing address fax:** (573) 204-3888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/17/2012
- **Last updated:** 08/30/2012