Organization
GUARDIAN ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE FREITAG (PRESIDENT)
(762) 245-0755
Entity
Organization
Contact information
Practice address
2101 198TH AVE NW, OAK GROVE, MN 55011-4207
(763) 245-0755
(763) 390-0032
Mailing address
15689 YELLOW PINE ST NW, ANDOVER, MN 55304-4561
(763) 245-0755
(763) 390-0032
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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