Organization
GUARDIAN ANGELS GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA KARIUKI (ADMINISTRATOR)
(469) 401-7301
Entity
Organization
Contact information
Practice address
426 BIRCH LN, RICHARDSON, TX 75081-5526
(469) 401-7301
(972) 234-4041
Mailing address
426 BIRCH LN, RICHARDSON, TX 75081-5526
(469) 401-7301
(972) 234-4041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
139074
TX
311500000X
Alzheimer Center (Dementia Center)
Primary
103113
TX
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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