| Guardian Angel Life Services, Inc | |
|
213 N Smith Ave Kenesaw NE 68956-1747 | |
| (402) 752-3670 | |
| Not Available |
| Full Name | Guardian Angel Life Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 213 N Smith Ave, Kenesaw, Nebraska |
| Authorized Official Name and Position | Shelly Wieland (DIRECTOR) |
| Authorized Official Contact | 4027523670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Angel Life Services, Inc Po Box 260 Kenesaw NE 68956-0260 Ph: (402) 752-3670 | Guardian Angel Life Services, Inc 213 N Smith Ave Kenesaw NE 68956-1747 Ph: (402) 752-3670 |
| NPI Number | 1114737186 |
|---|---|
| Provider Enumeration Date | 01/10/2025 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114737186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |