Organization · Type 2 NPI

Guardian Angels Health Services, Inc.

Adult Day Care Clinic/Center · Otsego, MN

NPI number 1730730508 Active

Practice location

9200 Quantrelle Ave NE
Otsego, MN 55330-1048

Call (763) 746-3400 Map

Fax (763) 635-5480

Mailing address

508 Freeport Ave NW Ste A
Elk River, MN 55330-1874

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	None listed

Adult Day Care Clinic/Center: Definition to come...

Another provider at this address

Evans Park, IncAssisted Living Facility Otsego, MN NPI 1932722584

NPI record

NPI: 1730730508
Entity type: Organization (Type 2)
Issued: Sep 24, 2019
Last updated: Sep 24, 2019
Status: Active
Subpart: Yes of Guardian Angels Health Services, Inc.

Other names

<unavail>
Angels On Main · doing business as

Authorized official

Daniel James Fair, DO
Administrator
(763) 241-4428

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730730508

Guardian Angels Health Services, Inc.'s National Provider Identifier is 1730730508, issued on Sep 24, 2019. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Otsego, MN. The record was last updated on Sep 24, 2019.