Organization
BOLTON HEALTHCARE, LLC
Active
Other names
Guardian Angel Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY H. BOLTON RN (PRESIDENT)
(903) 764-0033
Entity
Organization
Contact information
Practice address
1300 S FRAZIER ST, SUITE 205, CONROE, TX 77301-4400
(936) 828-3739
(936) 828-3741
Mailing address
PO BOX 841, ELKHART, TX 75839-0841
(904) 764-0033
(903) 764-1556
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012073
TX
251J00000X
Nursing Care Agency
1810244-03
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810244
—
TX
Enumeration date
11/29/2005
Last updated
06/04/2015
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