# BOLTON HEALTHCARE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guardian Angel Durable Medical Equipment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598921124
- **Authorized official:** MRS. KAREN MARIE ALLEN (DME ASSITANT ADMINISTRATOR)
- **Authorized official phone:** (409) 925-7303

## Contact information

- **Practice address:** 12627 HIGHWAY 6, SANTA FE, TX 77510-7613
- **Practice address phone:** (409) 925-7303
- **Mailing address:** 12627 HIGHWAY 6, SANTA FE, TX 77510-7613
- **Mailing address phone:** (409) 925-7303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0085042 | TX | Yes |
| 332BC3200X | Customized Equipment (DME) | 0085042 | TX | — |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | 0085042 | TX | — |
| 332BN1400X | Nursing Facility Supplies (DME) | 0085042 | TX | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 0085042 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0085042 | TX | — |

## Other

- **Enumeration date:** 08/04/2008
- **Last updated:** 12/09/2008
