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Organization

GUARDIAN ANGEL HOSPICE CARE FOR CHILDREN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA GAIL DUNIGAN RN/MHA (CEO)
(601) 720-1187
Entity
Organization

Contact information

Practice address
514 W FULTON ST, CANTON, MS 39046-4254
(601) 720-1187
(601) 859-1881
Mailing address
514 W FULTON ST, CANTON, MS 39046-4254
(601) 720-1187
(601) 859-1881

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
117
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01785796
MS
Enumeration date
09/14/2006
Last updated
08/10/2007
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