Organization Name: | VISITING GUARDIAN ANGELS, LLC |
NPI Number: | 1861859886 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANA J STEWART (PART OWNER) |
Mailing Address: | 11820 Miramar Pkwy Suite 127 Miramar |
State: | FL US |
Postal Code: | 330255814 |
Phone Number: | 2147944833 |
Fax Number: | 8666460164 |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 101198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |