Organization
GUARDIAN ANGEL HOME HEALTH CARE ,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKERE NWAGBARA (OFFICE MANAGER)
(314) 629-2750
Entity
Organization
Contact information
Practice address
6029 RAYTOWN RD, RAYTOWN, MO 64133-3909
(314) 629-2750
(816) 737-3090
Mailing address
6029 RAYTOWN RD, RAYTOWN, MO 64133-3909
(314) 629-2750
(816) 737-3090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266342807
—
MO
05
—
286342803
—
MO
Enumeration date
01/31/2011
Last updated
07/20/2020
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