Organization
GUARDIAN ANGELS HOMEMAKER SERVICES
Active
Parent organization
WELLNESS PERSONAL CARE SERVICE LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLNESS PERSONAL CARE SERVICE LLC.
Authorized official
GWENDOLYN BLAKE (ADMINISTRATOR)
(662) 392-3965
Entity
Organization
Contact information
Practice address
612 SUNFLOWER AVENUE EXT STE 19B, INDIANOLA, MS 38751-2333
(662) 392-3965
Mailing address
207 ALEXANDER AVE, INDIANOLA, MS 38751-2703
(662) 392-3965
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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