Provider Demographics
NPI:1386819282
Name:PRIER GUARDIAN ANGELS, LLC
Entity Type:Organization
Organization Name:PRIER GUARDIAN ANGELS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-757-5992
Mailing Address - Street 1:6630 EXCHEQUER DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-5165
Mailing Address - Country:US
Mailing Address - Phone:225-756-2935
Mailing Address - Fax:225-756-2955
Practice Address - Street 1:6630 EXCHEQUER DR
Practice Address - Street 2:SUITE F
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-5165
Practice Address - Country:US
Practice Address - Phone:225-756-2935
Practice Address - Fax:225-756-2955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health