Provider Demographics
NPI:1386281152
Name:GUARDIAN ANGELS HOSPICE & PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:GUARDIAN ANGELS HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PRISCA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-973-3898
Mailing Address - Street 1:12808 W AIRPORT BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6240
Mailing Address - Country:US
Mailing Address - Phone:281-973-3898
Mailing Address - Fax:
Practice Address - Street 1:12808 W AIRPORT BLVD STE 290
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6240
Practice Address - Country:US
Practice Address - Phone:281-973-3898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-29
Last Update Date:2019-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based