Organization
GUARDIAN ANGEL HEALTHCARE II, INC
Active
Other names
Patient's Choice Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULETTE H BUTLER PHD (CEO)
(601) 782-9997
Entity
Organization
Contact information
Practice address
347 MAGNOLIA DRIVE, RALEIGH, MS 39153
(601) 782-9997
(601) 732-8037
Mailing address
41 S HALL RD, MORTON, MS 39117-8057
(601) 782-9997
(601) 732-8037
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
16-255
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-S163
MEDICARE
MS
Enumeration date
09/16/2009
Last updated
02/07/2022
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