Whalio Doctors

NPI 1538596481

My Guardian Angels Senior Care INC

Organisation Point of Service Jacksonville, FL

Practice location

Address
9951 Atlantic Blvd STE 423, Jacksonville, FL 32225-6584
Phone
(904) 874-4170
Fax
(904) 721-4123

Authorised official

Name
Leola Nelson
Title
Owner
Phone
(904) 874-4170

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 9243 (FL)

Registry record

NPI
1538596481
Entity type
Organization
NPI issued
7 Oct 2013
Record last updated
7 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.