Organization
GUARDIAN ANGEL HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULETTE H BUTLER PHD (CEO)
(601) 732-8473
Entity
Organization
Contact information
Practice address
41 S HALL RD, MORTON, MS 39117-8057
(601) 732-8473
(601) 732-8037
Mailing address
41 S HALL RD, MORTON, MS 39117-8057
(601) 732-8473
(601) 732-8037
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
059
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770357
—
MS
Enumeration date
02/21/2007
Last updated
12/28/2007
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