Organization
GUARDIAN ANGELS, LLC
Active
Parent organization
GUARDIAN ANGELS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUARDIAN ANGELS, LLC
Authorized official
CALVIN VICK (OWNER)
(816) 599-6562
Entity
Organization
Contact information
Practice address
4049 PENNSYLVANIA AVE, KANSAS CITY, MO 64111
(816) 599-6562
Mailing address
4049 PENNSYLVANIA AVE, KANSAS CITY, MO 64111-3085
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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