Organization
GUARDIAN ANGELS PROVIDER SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MOUTON (CEO)
(713) 993-6888
Entity
Organization
Contact information
Practice address
10333 HARWIN DR STE 674, HOUSTON, TX 77036-1571
(713) 993-6888
(713) 993-6862
Mailing address
10333 HARWIN DR STE 685, HOUSTON, TX 77036-1571
(713) 993-6888
(713) 993-6862
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
07/20/2023
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