MEDICARE: GUARDIAN ANGEL EMS

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	341600000X	Ambulance

General Provider Information

NPI Number	:	1962772038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN ANGEL EMS

Provider Business Mailing Address
First Line	:	413 W 8TH AVENUE
Second Line	:
City	:	WEST HOMESTEAD
State	:	PA
Zip	:	15120-1014
Country	:	US
Telephone Number	:	412-337-4523
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 W 8TH AVE
Second Line	:
City	:	HOMESTEAD
State	:	PA
Zip	:	15120-1014
Country	:	US
Telephone Number	:	412-337-4523
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JUSTIN MCAFEE
Credential	:
Telephone Number	:	412-337-4523

Provider Enumeration Date	:	01/06/2012
Last Update Date	:	01/06/2012

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Directions to “GUARDIAN ANGEL EMS ” Practice Location

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