# A GUARDIAN ANGEL HOME HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A GUARDIAN ANGEL HOME HEALTH, A Guardian Angel Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265095590
- **Authorized official:** NICHELL YVETTE LEWIS (ADMINISTRATOR)
- **Authorized official phone:** (757) 610-7430

## Contact information

- **Practice address:** 140 W WASHINGTON ST SUITE 109, SUFFOLK, VA 23434-5254
- **Practice address phone:** (757) 610-7430
- **Practice address fax:** (757) 922-7019
- **Mailing address:** 140 W WASHINGTON ST SUITE 109, SUFFOLK, VA 23434-5254
- **Mailing address phone:** (757) 610-7430
- **Mailing address fax:** (757) 922-7019

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2019
- **Last updated:** 04/22/2019