| Organization Name: | GUARDIAN ANGELS ELIM HOME CARE, INC |
| NPI Number: | 1174610448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY HJELMSTAD (CEO) |
| Mailing Address: | 400 Evans Ave Nw Elk River |
| State: | MN US |
| Postal Code: | 553302604 |
| Phone Number: | 7632410654 |
| Fax Number: | 7632410274 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 332158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |