Organization
GUARDIAN ANGEL HEALTHCARE, LLC
Active
Parent organization
GUARDIAN ANGEL HEALTHCARE, LLC
Other names
Alieah's Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUARDIAN ANGEL HEALTHCARE, LLC
Authorized official
CORNELIUS WILLIAMS BA (PRESIDENT/CEO)
(252) 572-4005
Entity
Organization
Contact information
Practice address
119 BYNUM PL, NORLINA, NC 27563-9139
(252) 204-1381
(252) 598-0051
Mailing address
PO BOX 2002, HENDERSON, NC 27536-2002
(252) 572-4005
(252) 598-0051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
09/06/2023
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