MEDICARE: GUARDIAN ANGELS ALTERNATIVE CARE, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies		NC

General Provider Information

NPI Number	:	1518167113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN ANGELS ALTERNATIVE CARE, INC.

Provider Business Mailing Address
First Line	:	3005 FAIRWAY RD
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4927
Country	:	US
Telephone Number	:	252-808-2990
Fax Number	:	252-726-5615

Provider Business Practice Location Address
First Line	:	3005 FAIRWAY RD
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4927
Country	:	US
Telephone Number	:	252-808-2990
Fax Number	:	252-726-5615

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID L. HARDY
Credential	:
Telephone Number	:	252-808-2990

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	07/20/2007

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