Organization
MY GUARDIAN ANGEL PRS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO R D'AQUILA (MANAGING MEMBER)
(413) 624-0200
Entity
Organization
Contact information
Practice address
56 BRIDGE ST, SHELBURNE FALLS, MA 01370-1131
(413) 624-0200
Mailing address
56 BRIDGE ST, SHELBURNE FALLS, MA 01370-1131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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