| NPI | 1437671955 |
|---|---|
| Doing Business As | GUARDIAN ANGELS SUPPORT COORDINATOR AGENCY |
| Entity Type | Organization |
| Authorized Contact | ANCUTA FELICIA PEREA Administrator 267-207-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-07-21 |