Whalio Doctors

NPI 1679924195

Guardian Angels of the Upstate

Organisation Point of Service Simpsonville, SC

Practice location

Address
117 Fairview Pointe Dr, Simpsonville, SC 29681
Phone
(404) 242-7633
Mailing address
117 Fairview Pointe Dr, Simpsonville, SC 29681-3223

Authorised official

Name
Jimetta Littlejohn
Title
Owner
Phone
(404) 242-7633

Registered specialties (7)

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X
Licensed Practical Nurse
Nursing Service Providers Taxonomy 164W00000X
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X
Home Health Agency
Agencies Taxonomy 251E00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X
Exclusive Provider Organization
Managed Care Organizations Taxonomy 302F00000X
Preferred Provider Organization
Managed Care Organizations Taxonomy 305R00000X

Registry record

NPI
1679924195
Entity type
Organization
NPI issued
27 Jun 2016
Record last updated
27 Jun 2016

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.