Organization
GUARDIAN ANGEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH NWACHI (OWNER)
(612) 394-3302
Entity
Organization
Contact information
Practice address
147 126TH AVE NW, COON RAPIDS, MN 55448-1547
(763) 229-1841
Mailing address
147 126TH AVE NW, COON RAPIDS, MN 55448-1547
(763) 229-1841
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/16/2025
Last updated
01/26/2026
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