Organization
GUARDIAN ANGEL HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHINYERE OTUYA RN (ADMINISTRATOR)
(703) 504-8322
Entity
Organization
Contact information
Practice address
1611 PEBBLE BEACH DR, BOWIE, MD 20721-2375
(703) 504-8322
(703) 454-0722
Mailing address
1611 PEBBLE BEACH DR, BOWIE, MD 20721-2375
(703) 504-8322
(703) 454-0722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R4404
MARYLAND DEPARTMENT OF HEALTH OFFICE OF HEALTH CARE QUALITY
MD
Enumeration date
02/12/2019
Last updated
02/12/2019
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