Provider Demographics
NPI:1811359714
Name:GUARDIAN ANGEL SENIOR SERVICES, INC.
Entity type:Organization
Organization Name:GUARDIAN ANGEL SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-667-2600
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:N BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-0036
Mailing Address - Country:US
Mailing Address - Phone:978-667-2600
Mailing Address - Fax:978-667-2636
Practice Address - Street 1:1 SURVEY CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:N BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2122
Practice Address - Country:US
Practice Address - Phone:978-667-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care