Provider Demographics
NPI:1972235067
Name:GUARDIAN ANGELS HOSPICE & PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:GUARDIAN ANGELS HOSPICE & PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:EXPOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-406-1129
Mailing Address - Street 1:11785 NORTHFALL LN STE 512
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-7967
Mailing Address - Country:US
Mailing Address - Phone:678-691-3625
Mailing Address - Fax:888-247-2519
Practice Address - Street 1:11785 NORTHFALL LN STE 512
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7967
Practice Address - Country:US
Practice Address - Phone:678-691-3625
Practice Address - Fax:888-247-2519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based