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Organization
GUARDIAN ANGEL FAMILY CARE HOME, INC
Active
Organization
GUARDIAN ANGEL FAMILY CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA G. PACKINGHAM (ADMINISTRATOR)
(336) 222-0114
Entity
Organization
Contact information
Practice address
1006 RICHMOND AVE, BURLINGTON, NC 27217-1525
(336) 222-0114
(336) 222-0114
Mailing address
1006 RICHMOND AVE, BURLINGTON, NC 27217-1525
(336) 222-0114
(336) 222-0114
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805761
—
NC
Enumeration date
02/19/2007
Last updated
11/27/2012
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