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Organization
GUARDIAN ANGEL HOME CARE AGENCY
Active
Organization
GUARDIAN ANGEL HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN F FUNDERBURK BS (PRESIDENT)
(704) 948-5654
Entity
Organization
Contact information
Practice address
1801 NORTH TRYON ST, SUITE 305B, HUNTERSVILLE, NC 28070-2098
(704) 948-5654
Mailing address
1801 N TRYON ST, SUITE 305B, CHARLOTTE, NC 28206-2704
(704) 948-5658
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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