# GUARDIAN ANGELS ADULT LIVING LLC

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

## Provider details

- **NPI number:** 1538444666
- **Authorized official:** MS. BRITTANEY SHONTERIA HESTER (ADMINISTRATOR)
- **Authorized official phone:** (770) 666-4401

## Contact information

- **Practice address:** 207 KITE LAKE RD, FAYETTEVILLE, GA 30214-9608
- **Practice address phone:** (770) 666-4401
- **Mailing address:** 207 KITE LAKE RD, FAYETTEVILLE, GA 30214-9608
- **Mailing address phone:** (770) 666-4401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2011
- **Last updated:** 10/20/2011