Organization
GUARDIAN ANGELS HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE HARRIS (CEO)
(573) 204-3800
Entity
Organization
Contact information
Practice address
1335 OLD CAPE RD., SUITE F, JACKSON, MO 63755
(573) 204-3800
(573) 204-3888
Mailing address
1335 OLD CAPE RD., SUITE F, JACKSON, MO 63755
(573) 204-3800
(573) 204-3888
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
MO
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
343900000X
Non-emergency Medical Transport (VAN)
—
MO
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
MO
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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