# GUARDIAN ANGEL HOME CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053451294
- **Authorized official:** MS. HYACINTH EDWINA REECE-HEADLEH MSM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 231-8683

## Contact information

- **Practice address:** 2201 WOODWYCK WAY, RALEIGH, NC 27604-6128
- **Practice address phone:** (919) 231-8683
- **Practice address fax:** (919) 231-0226
- **Mailing address:** 2201 WOODWYCK WAY, RALEIGH, NC 27604-6128
- **Mailing address phone:** (919) 231-8683
- **Mailing address fax:** (919) 231-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020