Organization
GUARDIAN ANGEL PERSONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI SUE HADLOCK RN (PRESIDENT)
(812) 735-2811
Entity
Organization
Contact information
Practice address
11617 E STATE ROAD 67, BICKNELL, IN 47512-8232
(812) 735-2811
(812) 735-2332
Mailing address
11617 E STATE ROAD 67, P.O. BOX 196, BICKNELL, IN 47512-8232
(812) 735-2811
(812) 735-2332
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
09-012231-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-012231-1
INDIANA STATE DEPARTMENT OF HEALTH
IN
Enumeration date
12/06/2009
Last updated
12/06/2009
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