Organization
GUARDIAN ANGEL HOME HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELBY LYNN MARCHINO (CHIEF FINANCIAL OFFICER)
(812) 735-2811
Entity
Organization
Contact information
Practice address
11617 E SR 67, BICKNELL, IN 47512-0095
(812) 735-2811
(812) 735-2332
Mailing address
11617 E SR 67, PO BOX 95, BICKNELL, IN 47512-0095
(812) 735-2811
(812) 735-2332
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06009556
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200130650
—
IN
01
—
200141920
MEDWAIVER
IN
Enumeration date
05/19/2006
Last updated
12/01/2016
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