Provider Demographics
NPI:1649856956
Name:ANGEL'S GUARDIAN LLC
Entity type:Organization
Organization Name:ANGEL'S GUARDIAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUISSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-249-5701
Mailing Address - Street 1:13 BLUEBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-3236
Mailing Address - Country:US
Mailing Address - Phone:508-461-9647
Mailing Address - Fax:
Practice Address - Street 1:13 BLUEBERRY WAY
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-3236
Practice Address - Country:US
Practice Address - Phone:508-461-9647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health