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GUARDIAN ANGEL'S ADULT DAY HEALT CARE LLC NPI 1891296422


NPI Information

NPI: 1891296422
Provider Name: GUARDIAN ANGEL'S ADULT DAY HEALT CARE, LLC

Doing Business As: GUARDIAN ANGLE'S ADULT DAY HEALTH CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D2155923

Address:
4837 E. MCKINLEY AVENUE
FRESNO, CA
ZIP 93703
Phone: (559) 492-1621
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GUARDIAN ANGEL'S ADULT DAY HEALT CARE, LLC is an adult day care clinic center in Fresno, CA. GUARDIAN ANGEL'S ADULT DAY HEALT CARE, LLC NPI is 1891296422. The provider is registered as an organization entity type.
The provider Is Doing Business As Guardian Angle's Adult Day Health Care.

The provider's business location address is:

4837 E. MCKINLEY AVENUE
FRESNO, CA
ZIP 93703
Phone: (559) 492-1621
Fax: (559) 492-2759

The provider's authorized official is Teng Vang .
The authorized official title is Adminstrator and has the following contact phone number (559) 492-1621.

The CLIA number assigned to this NPI record is 05D2155923 - other - adult day health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/28/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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