Organization
GUARDIAN ANGELS OF THE UPSTATE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA SCOTT (CEO)
(864) 412-8800
Entity
Organization
Contact information
Practice address
8 SYCAMORE DR STE B10, GREENVILLE, SC 29607-2965
(864) 962-3450
Mailing address
8 SYCAMORE DR STE B10, GREENVILLE, SC 29607-2965
(864) 962-3450
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1525
—
SC
Enumeration date
10/26/2017
Last updated
10/16/2019
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