Organization
GUARDIAN ANGEL HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE LEIGH THOMPSON RN (OWNER/PRESIDENT)
50055649002
Entity
Organization
Contact information
Practice address
2800 HUTTON AVE, FARMINGTON, NM 87402-4560
(505) 564-9002
(505) 564-9022
Mailing address
PO BOX 3590, FARMINGTON, NM 87499-3590
(505) 564-9002
(505) 564-9022
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3132
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51629861
—
NM
Enumeration date
10/17/2016
Last updated
10/17/2016
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