| Guardian Angel Homemaker Service | |
|
1192 Highway 13 S Morton MS 39117-7987 | |
| (601) 732-8473 | |
| (601) 732-8037 |
| Full Name | Guardian Angel Homemaker Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1192 Highway 13 S, Morton, Mississippi |
| Authorized Official Name and Position | Paulette Butler (ADMINISTRATOR) |
| Authorized Official Contact | 6017328473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Angel Homemaker Service 41 S Hall Rd Morton MS 39117-8057 Ph: (601) 732-8473 | Guardian Angel Homemaker Service 1192 Highway 13 S Morton MS 39117-7987 Ph: (601) 732-8473 |
| NPI Number | 1932379096 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932379096 | NPI | - | NPPES |
| 04970592 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 04970592 (Mississippi) | Primary |