# GUARDIAN ANGEL HOME CARE, INC

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

## Provider details

- **NPI number:** 1861527947
- **Authorized official:** MS. HYACINTH EDWINA REECE-HEADLEY MSM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 231-8683

## Contact information

- **Practice address:** 1913 RIVERKNOLL DR, RALEIGH, NC 27610-4587
- **Practice address phone:** (919) 231-4599
- **Practice address fax:** (919) 231-4599
- **Mailing address:** 2201 WOODWYCK WAY, RALEIGH, NC 27604-6128
- **Mailing address fax:** (919) 231-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-092-530 | NC | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020