Organization
GUARDIAN ANGEL HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE BEVER RN (CEO)
(765) 453-7702
Entity
Organization
Contact information
Practice address
513 W LINCOLN RD, KOKOMO, IN 46902-3418
(765) 453-7702
(765) 453-7858
Mailing address
513 W LINCOLN RD, KOKOMO, IN 46902-3418
(765) 453-7702
(765) 453-7858
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
050033851
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200406660A
—
IN
Enumeration date
04/12/2006
Last updated
01/30/2017
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