# GUARDIAN ANGEL HOME HEALTHCARE

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

## Provider details

- **NPI number:** 1649660317
- **Authorized official:** MRS. KAY BODUDE (ADMINISTRATOR)
- **Authorized official phone:** (602) 866-5365

## Contact information

- **Practice address:** 10000 N 31ST AVE, B111, PHOENIX, AZ 85051-9582
- **Practice address phone:** (602) 866-5365
- **Mailing address:** 10000 N 31ST AVE, B111, PHOENIX, AZ 85051-9582
- **Mailing address phone:** (602) 866-5365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | F-1291518-5 | AZ | Yes |

## Other

- **Enumeration date:** 02/02/2015
- **Last updated:** 02/02/2015