Organization
GUARDIAN ANGEL HEALTHCARE II, INC
Active
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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