Provider Demographics
NPI:1205353240
Name:GUARDIAN ANGEL STAFFING
Entity type:Organization
Organization Name:GUARDIAN ANGEL STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REID-ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSN/CNL
Authorized Official - Phone:610-389-8697
Mailing Address - Street 1:644 BEVERLY BLVD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-3504
Mailing Address - Country:US
Mailing Address - Phone:267-571-6912
Mailing Address - Fax:610-553-7251
Practice Address - Street 1:644 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-3504
Practice Address - Country:US
Practice Address - Phone:267-571-6912
Practice Address - Fax:610-553-7251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA32633601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health