Organization
GUARDIAN ANGELS CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON MONROE CAUSEY (DIRECTOR OF QUALITY)
(318) 641-6122
Entity
Organization
Contact information
Practice address
104 MORGAN ST, BALL, LA 71405-3306
(318) 641-6122
(318) 641-6128
Mailing address
104 MORGAN ST, BALL, LA 71405-3306
(318) 641-6122
(318) 641-6128
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1430781
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1430781
—
LA
Enumeration date
05/14/2007
Last updated
08/22/2020
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