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Organization
GURDIAN ANGEL COMPANION
Active
Organization
GURDIAN ANGEL COMPANION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KARANJA (DIRECTOR)
(774) 530-1938
Entity
Organization
Contact information
Practice address
278 PUTNAM HILL RD, SUTTON, MA 01590-1651
(774) 530-1938
Mailing address
278 PUTNAM HILL RD, SUTTON, MA 01590-1651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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