Provider Demographics
NPI:1962772038
Name:GUARDIAN ANGEL EMS
Entity type:Organization
Organization Name:GUARDIAN ANGEL EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-337-4523
Mailing Address - Street 1:413 W 8TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:WEST HOMESTEAD
Mailing Address - State:PA
Mailing Address - Zip Code:15120-1014
Mailing Address - Country:US
Mailing Address - Phone:412-337-4523
Mailing Address - Fax:
Practice Address - Street 1:411 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-1014
Practice Address - Country:US
Practice Address - Phone:412-337-4523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance