# GUARDIAN ANGEL HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Esther's Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437205788
- **Authorized official:** MR. CORNELIUS WILLIAMS (OWNER)
- **Authorized official phone:** (252) 572-4487

## Contact information

- **Practice address:** 270 CHARLES ST, HENDERSON, NC 27536-4328
- **Practice address phone:** (252) 572-2146
- **Practice address fax:** (252) 572-2147
- **Mailing address:** 107 CURRIN LN, WARRENTON, NC 27589-2249
- **Mailing address phone:** (252) 213-4394
- **Mailing address fax:** (252) 572-2147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-091-087 | NC | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 06/15/2010