Organization
MY GUARDIAN ANGELS SENIOR CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEOLA NELSON (OWNER)
(904) 874-4170
Entity
Organization
Contact information
Practice address
9951 ATLANTIC BLVD, STE 423, JACKSONVILLE, FL 32225-6584
(904) 874-4170
(904) 721-4123
Mailing address
9951 ATLANTIC BLVD, STE 423, JACKSONVILLE, FL 32225-6584
(904) 874-4170
(904) 721-4123
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
9243
FL
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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