Organization
GUARDIAN ANGEL ADULT DAY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINEKA BAILEY (OWNER)
(662) 902-2921
Entity
Organization
Contact information
Practice address
1028 RUSSWIN ST, CLARKSDALE, MS 38614-4610
(662) 902-2921
Mailing address
PO BOX 1052, CLARKSDALE, MS 38614-1052
(662) 902-2921
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
07/01/2014
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