Organization
GUARDIAN ANGELS IN HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE HARDAWAY LPN (CEO)
(573) 333-0777
Entity
Organization
Contact information
Practice address
1227 LAURANT AVE, CARUTHERSVILLE, MO 63830-2145
(573) 333-0777
(573) 333-1002
Mailing address
PO BOX 4, CARUTHERSVILLE, MO 63830-0004
(573) 333-0777
(573) 333-1002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M279312904
—
MO
Enumeration date
06/11/2019
Last updated
06/11/2019
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