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Organization
GUARDIAN ANGEL HEALTHCARE, LLC
Active
Organization
GUARDIAN ANGEL HEALTHCARE, LLC
Active
Other names
Esther's Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORNELIUS WILLIAMS (OWNER)
(252) 572-4487
Entity
Organization
Contact information
Practice address
270 CHARLES ST, HENDERSON, NC 27536-4328
(252) 572-2146
(252) 572-2147
Mailing address
107 CURRIN LN, WARRENTON, NC 27589-2249
(252) 213-4394
(252) 572-2147
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-091-087
NC
Other
Enumeration date
01/26/2007
Last updated
06/15/2010
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