Organization · NPI-2

A Guardian Angel Home Health Care

Home Health · Suffolk, VA

NPI number1265095590
StatusActive
Last updated in NPPESApr 22, 2019

Details

NPI
1265095590
Entity type
Organization (NPI-2)
Legal business name
A Guardian Angel Home Health Care
Organization subpart
No
Enumeration date
Apr 22, 2019
Last updated
Apr 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • A Guardian Angel Home Health Care (Doing Business As)
  • A Guardian Angel Home Health (Former Legal Business Name)

Practice location

140 W Washington St Suite 109
Suffolk, VA 23434-5254

Phone 757-610-7430 · Fax 757-922-7019

Mailing address

140 W Washington St Suite 109
Suffolk, VA 23434-5254

Phone 757-610-7430 · Fax 757-922-7019

Authorized official

Nichell Yvette Lewis
Administrator
7576107430

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