Organization
GUARDIAN ANGEL CARE SERVICES II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICOLE PORTER (OWNER)
(850) 727-6705
Entity
Organization
Contact information
Practice address
1371 CAVENDER CREEK RD, MINNEOLA, FL 34715-7785
(850) 727-6705
(850) 597-9485
Mailing address
1245 CEDAR CENTER DR STE 1, TALLAHASSEE, FL 32301-4857
(850) 727-6705
(850) 597-9485
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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