# GUARDIAN LIGHT, INC.

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

## Provider details

- **NPI number:** 1225238421
- **Authorized official:** MRS. ROBERTHA POWERS (EXECUTIVE ADMINISTRATOR)
- **Authorized official phone:** (910) 625-5008

## Contact information

- **Practice address:** 1294 HALLSBORO RD S, HALLSBORO, NC 28442-9276
- **Practice address phone:** (910) 646-7143
- **Mailing address:** PO BOX 1877, WHITEVILLE, NC 28472-1877
- **Mailing address phone:** (910) 642-8609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-024-056 | NC | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 07/25/2007
