Organization
GUARDIAN ANGELS REFERRAL AGENCY
Active
Other names
Guardian Angels Referral Agrncy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAEKO CUNNINGHAM (ADMINISTRATOR/ DIRECTOR)
(954) 588-0246
Entity
Organization
Contact information
Practice address
4074 W BROWARD BLVD, PLANTATION, FL 33317-3767
(954) 588-0246
(954) 583-9973
Mailing address
4074 W BROWARD BLVD, PLANTATION, FL 33317-3767
(954) 588-0246
(954) 583-9973
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
232693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232693
AHCA
FL
Enumeration date
02/27/2013
Last updated
02/27/2013
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