Organization
GUARDIAN ANGELS HOMECARE, LLC
Active
Other names
Guardian Angels Hoemcare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CLOYD (MEMBER)
(619) 888-5114
Entity
Organization
Contact information
Practice address
1116 PIN OAK DRIVE, SUFFOLK, VA 23434-2343
(619) 888-5114
Mailing address
1116 PIN OAK DRIVE, SUFFOLK, VA 23434
(619) 888-5114
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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