Organization
GUARDIAN ANGEL HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHIYERE OTUYA REGISTERED NURSE (NURSING DIRECTOR)
(240) 462-9940
Entity
Organization
Contact information
Practice address
211 N UNION ST, #100 OLD TOWN, ALEXANDRIA, VA 22314-2657
(703) 519-1255
Mailing address
211 N UNION ST, #100 OLD TOWN, ALEXANDRIA, VA 22314-2657
(703) 519-1255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4626066468
VA
Other
Enumeration date
08/12/2013
Last updated
09/23/2013
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