Guardian Angel Adult Day Services Llc

NPI 1023352846 - Clinic/Center - 261QA0600X

NPI Details
NPI 1023352846
Enumeration Date 11/16/2012
Last Updated 07/01/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TINEKA TINEKA
Position OWNER
Phone (662) 902-2921
Fax
Practice Location
1028 RUSSWIN ST
CLARKSDALE MS, 38614-4610, US
Phone (662) 902-2921
Fax
Business Location
PO BOX 1052
CLARKSDALE MS, 38614-1052, US
Phone (662) 902-2921
Fax
Toxanomy
Taxonomy Code 261QA0600X
License State
License Number
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According to our database, Guardian Angel Adult Day Services Llc NPI is 1023352846, taxonomy code is 261QA0600X Guardian Angel Adult Day Services Llc physically located at 1028 Russwin St, Clarksdale MS, 38614-4610. NPI Number 1033115704 has the healthcare provider type.

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1023352846 NPI number is provided on an as is basis without warranty of any kind. 1023352846 is maintained by the National Plan & Provider Enumeration System. The contents of Guardian Angel Adult Day Services Llc are for informational purposes only.