Provider Demographics
NPI:1477992865
Name:ANN'S GUARDIAN ANGELS
Entity Type:Organization
Organization Name:ANN'S GUARDIAN ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEALE
Authorized Official - Suffix:
Authorized Official - Credentials:SOCIAL COUNSELOR
Authorized Official - Phone:508-685-2479
Mailing Address - Street 1:1815 FALMOUTH RD
Mailing Address - Street 2:B5
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-3163
Mailing Address - Country:US
Mailing Address - Phone:508-685-2479
Mailing Address - Fax:
Practice Address - Street 1:1815 FALMOUTH RD
Practice Address - Street 2:B5
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-3163
Practice Address - Country:US
Practice Address - Phone:508-685-2479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251T00000X251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization