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Organization
GUARDIAN ANGEL CARE CENTER
Active
Organization
GUARDIAN ANGEL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORA JULA (PROVIDER)
(360) 576-3530
Entity
Organization
Contact information
Practice address
206 NW 98TH CIR, VANCOUVER, WA 98665-7573
(360) 576-3530
Mailing address
206 NW 98TH CIR, VANCOUVER, WA 98665-7573
(360) 576-3530
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
489102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311ZA0620X
ADULT CARE HOME
WA
Enumeration date
03/11/2008
Last updated
03/11/2008
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