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Organization
GUARDIAN ANGELS HOME SERVICES
Active
Organization
GUARDIAN ANGELS HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY J BROWN (OWNER)
(937) 718-5488
Entity
Organization
Contact information
Practice address
50 BRENNER AVE, DAYTON, OH 45403-1122
(937) 718-5488
(937) 258-3100
Mailing address
50 BRENNER AVE, DAYTON, OH 45403-1122
(937) 718-5488
(937) 258-3100
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115965
—
OH
01
—
400784130708
STATE TESTED NURSE AIDE
OH
Enumeration date
05/13/2016
Last updated
05/13/2016
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