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Organization
GUARDIAN ANGEL HOME CARE AGENCY, LLC
Active
Organization
GUARDIAN ANGEL HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARIE STONE (ASSISTANT ADMINISTRATOR)
(321) 633-9730
Entity
Organization
Contact information
Practice address
1532 N HARBOR CITY BLVD STE A, MELBOURNE, FL 32935-6533
(321) 633-9730
(321) 633-5061
Mailing address
1532 N HARBOR CITY BLVD STE A, MELBOURNE, FL 32935-6533
(321) 633-9730
(321) 633-5061
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
30211549
FL
253Z00000X
In Home Supportive Care Agency
Primary
30211549
FL
Other
Enumeration date
07/11/2012
Last updated
05/09/2023
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