Organization
GUARDIAN ANGEL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIUS WILLIAMS (PRESIDENT/CEO)
(252) 572-4005
Entity
Organization
Contact information
Practice address
119 BYNUM PL, NORLINA, NC 27563-9139
(252) 572-4005
(252) 598-0051
Mailing address
7412 RIDGE FALLS LN, WAKE FOREST, NC 27587-8015
(252) 204-1381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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