NPI | 1417091729 |
---|---|
Doing Business As | GUARDIAN ANGEL PERSONAL CARE HOME |
Entity Type | Organization |
Authorized Contact | ALLISON L SHOWVER Administrator 570-644-7860 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA 202080) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2020-08-22 |