Organization
GUARDIAN ANGEL HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARIE STONE (ASSISTANT ADMINISTRATOR)
(321) 633-9730
Entity
Organization
Contact information
Practice address
1532 N HARBOR CITY BLVD STE A, MELBOURNE, FL 32935-6533
(321) 633-9730
(321) 633-5061
Mailing address
1532 N HARBOR CITY BLVD STE A, MELBOURNE, FL 32935-6533
(321) 633-9730
(321) 633-5061
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
30211549
FL
253Z00000X
In Home Supportive Care Agency
Primary
30211549
FL
Other
Enumeration date
07/11/2012
Last updated
05/09/2023
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