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NPI Code Detail

MEDICARE: GUARDIAN ANGELS HOMEMAKER COMPANION SERVICES,INC

MEDICARE: GUARDIAN ANGELS HOMEMAKER COMPANION SERVICES,INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency233799FL

General Provider Information

NPI Number : 1447657119
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUARDIAN ANGELS HOMEMAKER COMPANION SERVICES,INC
Provider Business Mailing Address
First Line : 6720 HERITAGE GRANDE
Second Line : 3201
City : BOYNTON BEACH
State : FL
Zip : 33437-7904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6720 HERITAGE GRANDE
Second Line : 3201
City : BOYNTON BEACH
State : FL
Zip : 33437-7904
Country : US
Telephone Number : 561-396-8758
Fax Number :
Authorized Official
Title or Position : OWNER
Name : FLACA ALEXIS
Credential :
Telephone Number : 561-396-8758
Provider Enumeration Date : 11/24/2014
Last Update Date : 11/24/2014

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Directions to “GUARDIAN ANGELS HOMEMAKER COMPANION SERVICES,INC ” Practice Location

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