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Organization
GUARDIAN ANGEL HOMES LLC
Active
Organization
GUARDIAN ANGEL HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA L EVANS (OWNER)
(262) 883-7817
Entity
Organization
Contact information
Practice address
1815 LASALLE ST LOWR, RACINE, WI 53402-4629
(262) 260-8565
(262) 290-4882
Mailing address
2312 16TH PL, KENOSHA, WI 53140-1812
(262) 883-7817
(262) 290-4882
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
09/04/2026
Last updated
09/04/2026
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